title: A clinical study on the trocar-guided mesh repair system for pelvic organ prolapse surgery.
abstract: OBJECTIVE
  To evaluate the complication and recurrence rates in patients undergoing trocar-guided mesh implant for pelvic organ prolapse (POP) treatment.
  
  
  METHODS
  A retrospective study was performed based on the medical records of patients who had undergone mesh implant by one surgeon from May 2006 to August 2013 at the Presbyterian Medical Center in Korea. We evaluated perioperative complications such as bladder injury, mesh exposure, urinary symptoms, infections, and chronic pelvic pain. Recurrence was defined as a POP-quantification system stage ≥II or any symptomatic prolapse.
  
  
  RESULTS
  Sixty-seven patients were evaluated, and the mean age of patients was 65.4±7.2 years. Stage ≥III POP-quantification Ba was noted in 61 patients (91%). Intraoperative complications included three cases of bladder injury (4.5%). The mean follow-up period was 44.1±7.9 months. Postoperative complications occurred in seven women (10.5%): four cases of urinary symptoms (6%), two cases of infections (3%), and one case of chronic pelvic pain (1.5%). Mesh exposure did not occur (0%). Prolapse recurrence was reported in five patients (7.5%).
  
  
  CONCLUSIONS
  Based on our operational result, the trocar-guided mesh implant seems to provide safe and effective outcomes.
authors.affiliation: Department of Obstetrics and Gynecology, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Seul Gi
authors.initials: SG
authors.lastname: Bak
authors.affiliation: Department of Obstetrics and Gynecology, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Jeong Beom
authors.initials: JB
authors.lastname: Moon
authors.affiliation: Department of Obstetrics and Gynecology, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Sang Ki
authors.identifier: 0000-0002-1432-8256
authors.initials: SK
authors.lastname: Hong
authors.affiliation: Department of Obstetrics and Gynecology, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Kyoung Jin
authors.initials: KJ
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Kyoung A
authors.initials: KA
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Ju Hyang
authors.initials: JH
authors.lastname: Lee
keywords: Complications; Pelvic organ prolapse; Recurrence; Surgical mesh