Outcome and efficacy of a transobturator polypropylene mesh kit in the treatment of anterior pelvic organ prolapse.

Abstract

OBJECTIVE:

To report the efficacy and complications of anterior pelvic organ prolapse (POP) repair with mesh placed through the transobturator route (Perigee system; AMS, Minnetonka, MN, USA).

METHODS:

In total, 198 women with anterior POP grade II or higher according to the POP Quantification (POP-Q) system were treated with the Perigee procedure. The primary outcome was defined as anterior POP grade I or lower at 12 months' follow-up. The secondary outcomes included the incidences of perioperative, mesh-related, short-term, and long-term postoperative complications.

RESULTS:

The cure rate was 92.9% overall and 90.6% among women who had previously undergone a hysterectomy or a traditional anterior colporrhaphy. The mean POP-Q Aa and Ba values were significantly improved after the procedure (Aa 2.2 cm [0.0 to 3.0 cm] versus -2.1cm [-3.0 to -1.2 cm]; Ba -2.5 cm [-1.0 to 4.2 cm] versus -2.2 cm [-5.5 to -1.0 cm]; P<0.001). Vaginal or bladder erosions were observed in 3 patients. Other short- and long-term complications were infrequent and not statistically significant.

CONCLUSION:

The Perigee procedure is effective in the treatment of anterior POP and does not have serious complications even among women with previous hysterectomy or traditional anterior colporrhaphy.

• Authors: Ozren Grgic, Slavko Oreskovic, Helena L Grsic, Drzislav Kalafatic, Tomislav Zupic, Ivana Maurac
• Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (Int J Gynaecol Obstet) Vol. 116 Issue 1 Pg. 72-5 (Jan 2012) ISSN: 1879-3479 [Electronic] United States
• PMID: 22036507 (Publication Type: Journal Article)
• Copyright: Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Chemical References

• Polypropylenes

Topics

• Adult
• Aged
• Aged, 80 and over
• Female
• Gynecologic Surgical Procedures
• Humans
• Middle Aged
• Pelvic Organ Prolapse
• Polypropylenes
• Postoperative Complications
• Suburethral Slings
• Surgical Mesh
• Treatment Outcome
• Urodynamics
• Vagina (surgery)