title: Laparoscopic-assisted tension-free vaginal mesh: an innovative approach to placing synthetic mesh: transvaginally for surgical correction of pelvic organ prolapse.
abstract: Polypropylene mesh implants for the correction of pelvic organ prolapse (POP) are now available in Japan. We developed an innovative approach for correcting POP by placing polypropylene mesh transvaginally with laparoscopic assistance. From June 2007 through March 2010, sixteen consecutive patients with symptomatic stage 2 or 3 pelvic organ prolapse underwent the laparoscopic-assisted tension-free vaginal mesh procedure at Okayama University Hospital. All patients were evaluated before and at 1, 3, 6, and 12 months after surgery. Female sexual function was also evaluated with the Female Sexual Function Index (FSFI). The procedure was performed successfully without significant complications. Fifteen of 16 patients were considered anatomically cured (93.8%) at 12 months postoperatively. One patient with a recurrent stage 3 vaginal vault prolapse required sacral colpopexy six months postoperatively. Total FSFI scores improved significantly from 10.3 ± 1.3 at baseline to 18.0 ± 1.2 at 12 months after surgery. The laparoscopic-assisted trans-vaginal mesh is a safe, effective, and simple procedure for POP repairs. The procedure not only restores anatomic relationships but also improves sexual function.
authors.affiliation: Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan. Nabeuro@aol.com
authors.forename: Toyohiko
authors.initials: T
authors.lastname: Watanabe
authors.forename: Miyabi
authors.initials: M
authors.lastname: Inoue
authors.forename: Ayano
authors.initials: A
authors.lastname: Ishii
authors.forename: Toyoko
authors.initials: T
authors.lastname: Yamato
authors.forename: Masumi
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Katsumi
authors.initials: K
authors.lastname: Sasaki
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Motoo
authors.initials: M
authors.lastname: Araki
authors.forename: Shinya
authors.initials: S
authors.lastname: Uehara
authors.forename: Takashi
authors.initials: T
authors.lastname: Saika
authors.forename: Hiromi
authors.initials: H
authors.lastname: Kumon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000523:psychology / Q000601:surgery*; D012725:Sexual Behavior; D013526:Surgical Mesh; D014621:Vagina / Q000601:surgery*