One-year clinical outcomes after prolapse surgery with nonanchored mesh and vaginal support device

Objective The purpose of this study was to evaluate outcomes after standardized transvaginal prolapse repair with nonanchored mesh and a vaginal support device. Study Design Postoperative vaginal support was assessed by pelvic organ prolapse quantitative examination after repair of symptomatic stage...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2010-12, Vol.203 (6), p.587.e1-587.e8
Main Authors: Zyczynski, Halina M., MD, Carey, Marcus P., MD, Smith, Anthony R.B., MD, Gauld, Judi M., BSc (Hons), Robinson, David, MD, Sikirica, Vanja, PharmD, MPH, Reisenauer, Christl, MD, Slack, Mark, MD
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Cohort Studies
Female
Follow-Up Studies
Gynecologic Surgical Procedures - methods
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
mesh
Middle Aged
Obstetrics and Gynecology
Patient Satisfaction
Postoperative Care - methods
prolapse
prolapse repair
Prospective Studies
Prosthesis Design
Prosthesis Implantation - methods
Quality of Life
Risk Assessment
sexual function
Suburethral Slings
Surgical Mesh
Time Factors
Treatment Outcome
Uterine Prolapse - diagnosis
Uterine Prolapse - surgery
vaginal support device
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Summary:Objective The purpose of this study was to evaluate outcomes after standardized transvaginal prolapse repair with nonanchored mesh and a vaginal support device. Study Design Postoperative vaginal support was assessed by pelvic organ prolapse quantitative examination after repair of symptomatic stage II/III prolapse. Validated questionnaires assessed pelvic symptoms and sexual function. Visual analog scales quantified experience with the vaginal support device. Results One hundred thirty-six women received the planned surgery; 95.6% of the women returned for the 1-year assessment: 76.9% of the cases were stage 0/I; however, in 86.9% of the cases, the leading vaginal edge was above the hymen. Pelvic symptoms, quality of life, and sexual function improved significantly from baseline ( P < .05). Median visual analog scale scores for vaginal support device awareness and discomfort were 2.6 and 1.2, respectively (0 = none; 10 = worst possible). Conclusion Vaginal support, pelvic symptoms, and sexual function improved at 1 year, compared with baseline, after trocar-free prolapse repair with nonanchored mesh and a vaginal support device.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2010.08.001