Pelvic Organ Prolapse Repair with Mesh: Mid-Term Efficacy and Complications

Introduction: Our aim was to assess the efficacy and complications of pelvic organ prolapse (POP) correction with transvaginal mesh (TVM). Materials and Methods: We retrospectively assessed patients who had undergone a repair of an apical (primary or recurrent) or recurrent POP using TVM in our department since 2007. Meshes used were Prolift (R), Elevate (R), and Surelift (R). Satisfaction with surgery was assessed on a 0-10 scale. Results: A total of 83 patients were included (33 Prolife (R), 36 Elevate (R), 14 Surelift (R)), with a mean age of 67.8 +/- 9.7 years. Eighteen (21.6%) patients underwent a recurrent POP correction. Follow-up was 49 +/- 34 months. Twelve (14.4%) symptomatic recurrences were identified, 3 of which required further surgery. Satisfaction was 8.7. Four (4.8%) vaginal exposures were detected, 2 of which required partial mesh removal. Three (3.6%) cases of dyspareunia and 1 (1.2%) case of mild pelvic pain were reported, which did not require further treatment. Conclusion: The use of NM for apical or recurrent POP repair is effective and is associated with a high satisfaction rate while complications are in- frequent. (C) 2018 S. Karger AG, Basel