2008 Annual Meeting Abstracts
Clinical Outcomes of Polypropylene Vaginal Mesh Repair for Pelvic Organ Prolapse
Jennifer Miles-Thomas, E. James Wright
Johns Hopkins University, Baltimore, MD
Introduction: To assess the anatomic and functional outcomes and morbidity of polypropylene vaginal mesh repair using the Prolift (Gynecare) system.
Methods: Forty-four patients had transvaginal pelvic organ prolapse repair by a single surgeon using the Prolift system between 5/2005 and 2/2008. Outcomes and complications were evaluated using the POP-Q and subjective assessment through retrospective chart review.
Results:
Forty-four patients underwent pelvic organ prolapse repair with the Prolift polypropylene mesh system between May 2005 and February 2008. The mean age was 63.8 years (range 40-84) at the time of repair. Mean follow-up was 22 weeks (range 1-77). Patients presented with Stage 2, 3, and 4 prolapse using POP-Q staging, 38.6%, 54.5% and 6.8% of the time, respectively. Hysterectomy was not performed as part of the repair irrespective of the degree of uterovaginal descent. All patients had restoration of pelvic support to stage 0 or 1 in all compartments post-operatively and at subsequent follow-up. To date, there have been no recurrences beyond stage 2. Eighty-six percent of patients were discharged from the hospital within 23 hours. Mesh exposure through the vaginal epithelium occurred in 3 of 44 patients (6.8%) patients while dyspareunia occurred in 1 (2.3%).
Conclusions:
Polypropylene mesh offers a durable method of repair for pelvic organ prolapse as assessed in the near term. The procedure is minimally invasive with acceptable functional and anatomic outcomes.
