title: Transvaginal mesh repair for pelvic organ prolapse.
abstract: OBJECTIVE
  We compared outcomes for traditional vaginal surgery with uterosacral ligament suspension (USLS) versus transvaginal mesh repair of pelvic organ prolapse (POP).
  
  
  METHODS
  We performed a retrospective chart review of pelvic organ prolapse cases that occurred between February 2007 and December 2011. Success rates for traditional vaginal repair plus USLS and transvaginal mesh repair were determined.
  
  
  RESULTS
  As compared with traditional surgery (n=81), using mesh (n=90) for stage III or IV prolapse resulted in higher rates of successful treatment. However, mesh repair also resulted in increased intraoperative blood loss and postoperative adverse events, such as pain and dyspareunia.
  
  
  CONCLUSIONS
  Traditional vaginal repair plus USLS was an improvement on traditional surgery, resulting in a higher anatomical success rate. On the other hand, both intraoperative and postoperative complications in mesh repair could be reduced by protective factors such as the surgeon's experience.
authors.affiliation: Department of Obstetrics and Gynecology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
authors.forename: Guojing
authors.initials: G
authors.lastname: Jiang
authors.forename: Bin
authors.initials: B
authors.lastname: Yan
authors.forename: Yu
authors.initials: Y
authors.lastname: Wang
authors.forename: Qingliang
authors.initials: Q
authors.lastname: Ma
mesh_terms: D000368:Aged; D002681:China; D002983:Clinical Competence; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control; D008875:Middle Aged; D061646:Operative Time; D056887:Pelvic Organ Prolapse / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013526:Surgical Mesh / Q000009:adverse effects*
keywords: mesh; pelvic organ prolapse; traditional vaginal repair; uterosacral ligament suspension