title: Perioperative complications in vaginal mesh procedures using trocar in pelvic organ prolapse repair.
abstract: OBJECTIVE
  This study aimed to document intraoperative and early postoperative complications associated with the use of vaginal mesh with trocar in pelvic organ prolapse (POP) repair.
  
  
  METHODS
  This is a retrospective review of 120 cases of vaginal repair of POP using vaginal mesh. Of the 120 patients, 31 underwent anterior mesh repair (Light mesh 10, Avaulta 1, Perigee 1, and Prolift 19); 35 underwent posterior mesh repair (Light mesh 2, Posterior IVS 17, and Prolift 16); and 54 underwent anterior and posterior mesh (total) repair (Light mesh 8, Prolift 32, and Prolift M 14).
  
  
  RESULTS
  Three bladder injuries (2.5%) and one distal rectal injury (0.8%) occurred during dissection. Three of four organ injuries (75%) had previous prolapse repair. Overall four patients (3%) required transfusion. Urinary retention exceeding 5 days occurred in four patients. Three of them (60%) also underwent TVT-O. Groin pain occurred in two patients one of whom underwent TVT-O. Gluteal pain occurred in one patient. Early mesh exposure occurred in the vaginal cuff of a patient who underwent hysterectomy.
  
  
  CONCLUSIONS
  The vaginal mesh procedures may be done with relatively few perioperative complications. However, there is a need for more randomized controlled trials with long-term follow-up to clarify its postoperative long-term complications and morbidities.
authors.affiliation: Kadikoy Sifa Health Group, Istanbul, Turkey.
authors.forename: Fuat
authors.initials: F
authors.lastname: Demirci
authors.affiliation: Kadikoy Sifa Health Group, Istanbul, Turkey.
authors.forename: Karakoc
authors.initials: K
authors.lastname: Birgul
authors.affiliation: Zeynep Kamil Women's Health and Maternity Hospital, Istanbul, Turkey.
authors.forename: Oya
authors.initials: O
authors.lastname: Demirci
authors.affiliation: Zeynep Kamil Women's Health and Maternity Hospital, Istanbul, Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Demirci
authors.affiliation: Baskent University, Istanbul, Turkey.
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Akman
authors.affiliation: Goztepe Education and Research Hospital, Medeniyet University, Dr. Erkin Street, 34170 Istanbul, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Karaalp
authors.affiliation: Kadikoy Sifa Health Group, Istanbul, Turkey.
authors.forename: Nihal
authors.initials: N
authors.lastname: Dolgun
keywords: Pelvic organ prolapse; Perioperative complications; Vaginal mesh procedures