title: Role of vaginal mesh hysteropexy for the management of advanced uterovaginal prolapse.
abstract: OBJECTIVE
  To determine the role of vaginal mesh hysteropexy in the management of advanced genital organ prolapse as assessed by subjective and objective parameters.
  
  
  METHODS
  Retrospective case series of 77 women followed for at least 1 year after vaginal mesh hysteropexy performed for stage III or greater uterovaginal prolapse. The primary outcome was Pelvic Organ Prolapse Quantification (POP- Q) stage < II and no subjective bothersome bulge and no further interventions for prolapse. Secondary outcomes assessed were complications such as intraoperative bleeding, injuries, and postoperative complications such as mesh exposure, mesh retraction, dyspareunia, urinary incontinence, and voiding dysfunction.
  
  
  RESULTS
  Mean follow-up was 13.7 +/- 4.1 months. Our composite success score was 85.7%. The anatomic (POP-Q) success score was 90.9%. Most failures (all but 1) were stage II with cervix as leading edge. Incidence of de novo dyspareunia was 3.7% and vaginal mesh erosion was 6.5%. Most patients 68/77 (88.3%) were discharged home voiding normally.
  
  
  CONCLUSIONS
  Vaginal mesh hysteropexy offers good success; however, comparative studies are required to validate its true role.
authors.forename: Salil
authors.initials: S
authors.lastname: Khandwala
authors.forename: Cheau
authors.initials: C
authors.lastname: Williams
authors.forename: Wendy
authors.initials: W
authors.lastname: Reeves
authors.forename: Jing
authors.initials: J
authors.lastname: Dai
authors.forename: Chaandini
authors.initials: C
authors.lastname: Jayachandran
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013526:Surgical Mesh; D014550:Urinary Incontinence, Stress / Q000209:etiology; D053202:Urinary Incontinence, Urge / Q000209:etiology; D014596:Uterine Prolapse / Q000145:classification / Q000150:complications / Q000601:surgery*