title: Comparison of two trocar-guided trans-vaginal mesh systems for repair of pelvic organ prolapse: a retrospective cohort study.
abstract: OBJECTIVE
  The aim of this study was to compare failure and complication rates in patients who underwent a trocar-guided vaginal mesh repair with either a non-absorbable or a partially absorbable mesh.
  
  
  METHODS
  Retrospective analysis of prospectively collected data from consecutive women undergoing either non-absorbable or partially absorbable mesh for symptomatic stage 2 prolapse or higher were evaluated at 12 months. Outcome measures included objective and subjective failure rates, patient's satisfaction, complications and perioperative outcomes.
  
  
  RESULTS
  Five hundred and sixty-nine women (347 with non-absorbable mesh, 222 with partially absorbable mesh) were included. Failure rates were similar in the two groups; the re-operation rate in the untreated compartments was higher in the non-absorbable mesh group compared with the partially absorbable mesh group (5% vs 1%). Mesh exposure rate in the non-absorbable mesh group was 12% and in the partially absorbable mesh group it was 5%. Other complication and patient satisfaction rates were similar.
  
  
  CONCLUSIONS
  Non-absorbable and partially absorbable mesh demonstrated similar outcome rates at 12 months. The risk of reoperation was lower for partially absorbable mesh. The mesh exposure rate was significantly lower for the partially absorbable mesh group compared with the non-absorbable mesh group.
authors: Department Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, 791, Postbus 9101, 6500 HB, Nijmegen, The Netherlands, ellen@lensen.nu.
authors: E J M
authors: EJ
authors: Lensen
authors: M I J
authors: MI
authors: Withagen
authors: K B
authors: KB
authors: Kluivers
authors: A L
authors: AL
authors: Milani
authors: M E
authors: ME
authors: Vierhout
mesh_terms: D000368:Aged; D015331:Cohort Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011446:Prospective Studies; D012189:Retrospective Studies; D013525:Surgical Instruments; D013526:Surgical Mesh / Q000009:adverse effects / Q000145:classification*; D017211:Treatment Failure; D016896:Treatment Outcome
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