Rate of re-interventions after transvaginal pelvic organ prolapse repair using partially absorbable mesh: 20 months median follow-up outcomes.
OBJECTIVE
To report our experience regarding the use of partially absorbable mesh, evaluating the nature and rate of re-intervention after transvaginal pelvic organ prolapse repair.


METHODS
We retrospectively collected data on 269 consecutive patients who underwent partially absorbable mesh repair between January 2009 and January 2011. Data were obtained from our hospital medical records and we phoned patients to check if they had surgery in another hospital since then.


RESULTS
250 patients were included, with a median follow-up duration of 20 months (range 8-34 months). The global rate of re-interventions was 8%. The main indications were mesh exposure (2%), prolapse recurrence (1.2%), and urinary complications such as de novo stress urinary incontinence (4.8%). Afterwards, we compared these data with those previously obtained in our centre with non-absorbable mesh.


CONCLUSIONS
Our study shows that the use of a partially absorbable mesh is efficient and reliable with relatively low rates of re-intervention. According to the available literature data, a partially absorbable mesh does not seem to give advantages in comparison with classic non-absorbable mesh regarding rates of re-intervention.
Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France. Electronic address: quemenerjulie@yahoo.fr.
Julie
J
Quemener
Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France.
Nicolas
N
Joutel
Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France.
Jean-Philippe
JP
Lucot
Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France.
Géraldine
G
Giraudet
Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France.
Pierre
P
Collinet
Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France.
Chrystèle
C
Rubod
Department of Gynaecologic Surgery, Hôpital Jeanne de Flandres, Centre Hospitalier Régional Universitaire de Lille, Avenue Eugène Avinée, 59037 Lille, France.
Michel
M
Cosson
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000601:surgery; D012189:Retrospective Studies; D013526:Surgical Mesh
Complications; Partially absorbable mesh; Pelvic organ prolapse; Re-intervention; Vaginal surgery