Outcome and efficacy of a transobturator polypropylene mesh kit in the treatment of anterior pelvic organ prolapse.
OBJECTIVE
To report the efficacy and complications of anterior pelvic organ prolapse (POP) repair with mesh placed through the transobturator route (Perigee system; AMS, Minnetonka, MN, USA).


METHODS
In total, 198 women with anterior POP grade II or higher according to the POP Quantification (POP-Q) system were treated with the Perigee procedure. The primary outcome was defined as anterior POP grade I or lower at 12 months' follow-up. The secondary outcomes included the incidences of perioperative, mesh-related, short-term, and long-term postoperative complications.


RESULTS
The cure rate was 92.9% overall and 90.6% among women who had previously undergone a hysterectomy or a traditional anterior colporrhaphy. The mean POP-Q Aa and Ba values were significantly improved after the procedure (Aa 2.2 cm [0.0 to 3.0 cm] versus -2.1cm [-3.0 to -1.2 cm]; Ba -2.5 cm [-1.0 to 4.2 cm] versus -2.2 cm [-5.5 to -1.0 cm]; P<0.001). Vaginal or bladder erosions were observed in 3 patients. Other short- and long-term complications were infrequent and not statistically significant.


CONCLUSIONS
The Perigee procedure is effective in the treatment of anterior POP and does not have serious complications even among women with previous hysterectomy or traditional anterior colporrhaphy.
Department of Obstetrics and Gynecology, University Hospital Sestre Milosrdnice, Zagreb, Croatia. ozren.grgic@gmail.com
Ozren
O
Grgic
Slavko
S
Oreskovic
Helena L
HL
Grsic
Drzislav
D
Kalafatic
Tomislav
T
Zupic
Ivana
I
Maurac
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse; D011126:Polypropylenes; D011183:Postoperative Complications; D053825:Suburethral Slings; D013526:Surgical Mesh; D016896:Treatment Outcome; D014563:Urodynamics; D014621:Vagina / Q000601:surgery*
D011126:Polypropylenes