title: Long term subjective cure rate, urinary tract symptoms and dyspareunia following mesh augmented anterior vaginal wall prolapse repair.
abstract: BACKGROUND
  The aim of this study was to assess patient-centered long term outcomes following anterior vaginal repair with mesh.
  
  
  METHODS
  In January 2015, we identified 124 women who underwent anterior pelvic floor repair with mesh between January 2006 and February 2009. Patient records were reviewed and demographic, clinical, intra-operative and post-operative follow-up data retrieved. Telephone interviews were conducted to access information on clinical outcomes. Associations between baseline characteristics and long term symptoms were assessed by multivariable logistic regression models.
  
  
  RESULTS
  Seventy-nine women were reached and consented to participate. Patients were interviewed 79-104 months after surgery. Their mean age at the time of surgery was 62.48 ± 9.53 years; all had stage III cystocele with a mean POP Q point Ba of 5.32 ± 1.47. Twenty-four (30%) had a previous hysterectomy and 26 (33%) had a previous pelvic organ prolapse or stress urinary incontinence operation. At telephone interviews, recurrence of prolapse symptoms was reported by 11 (13.9%) patients, mostly in the posterior compartment. Only 6 needed a corrective procedure. One patient had her mesh removed due to dyspareunia. Eleven (13.9%) reported lower urinary tract symptoms other than prolapse, as follows: stress urinary incontinence (1), overactive bladder (8) and dyspareunia (2).
  
  
  CONCLUSIONS
  Long term rates of recurrent prolapse, dyspareunia and lower urinary tract symptoms were low for patients who underwent anterior vaginal wall mesh augmentation surgery for symptomatic cystoceles.
authors.affiliation: Department of Obstetrics and Gynecology, Soroka University Medical Center, Beer Sheva 85025, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel. Electronic address: adiyehud@bgu.ac.il.
authors.forename: A Y
authors.initials: AY
authors.lastname: Weintraub
authors.affiliation: Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer 52621, Israel. Electronic address: talianoam@gmail.com.
authors.forename: T
authors.initials: T
authors.lastname: Friedman
authors.affiliation: Department of Obstetrics and Gynecology, Soroka University Medical Center, Beer Sheva 85025, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel; Clinical Research Center, Soroka University Medical Center, Beer Sheva 85025, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel. Electronic address: yaelkup@yahoo.com.
authors.forename: Y
authors.initials: Y
authors.lastname: Baumfeld
authors.affiliation: Urogynecology, Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, and the Faculty of Medicine in the Galilee, Bar Ilan University, Safed, Israel; Assuta Medical Centers, Tel Aviv and Rishon LeZion, Israel. Electronic address: mneuman@netvision.net.il.
authors.forename: M
authors.initials: M
authors.lastname: Neuman
authors.affiliation: Urogynecology Unit, Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Petach Tikva 49100, Affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel. Electronic address: Haimkr@clalit.org.il.
authors.forename: H
authors.initials: H
authors.lastname: Krissi
mesh_terms: D004414:Dyspareunia / Q000209:etiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000009:adverse effects*; D013997:Time Factors; D013519:Urogenital Surgical Procedures / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery*
keywords: Adverse symptoms; Anterior vaginal prolapse; Long term outcomes; Mesh augmentation; Overactive bladder; Recurrent prolapse surgery