Long-term results of genital prolapse surgery with polypropylene mesh.

Abstract

INTRODUCTION AND OBJECTIVE:

The risk of intervention due to urogenital prolapse in a woman's life is 11.1%. Recurrences after classic surgery reach up to 38%. With the aim of improving these results, transvaginal mesh kits are used. The purpose of the study is to describe the results of efficacy and long-term safety of vaginal prolapse surgery with polypropylene mesh, assess subjective symptoms before and after surgery and the level of satisfaction.

PATIENTS AND METHODS:

A descriptive, retrospective study of 58 women with symptomatic genital prolapses operated with polypropylene mesh between September / 2011-November / 2016. Mean age: 66.53 years, 98.27% menopausal women, 77.59% overweight/obesity, 29.31% with previous gynaecological surgery and 55.17% with combined prolapse. 46 Elevate anterior and 12 posterior were inserted. The mean follow-up period was 34.02 months. The PFDI questionnaire was used pre and post-surgery, as well as the satisfaction questionnaire.

RESULTS:

Healing rate of 91.38%. Recurrences were associated with a higher BMI and with background of recurrence of previous surgery. Mean length of stay: 2.5 days. 70.69% did not need analgesia at discharge. Clavien-Dindo complications: 1 type I (urinary retention), 5 type II (urinary tract infection) and 1 type IIIa (erosion). De novo stress urinary incontinence occurred in 3.44%, while de novo dyspareunia 14.28%. 89.36% patients improved subjective symptoms, and 95.92% were satisfied.

CONCLUSION:

This surgery achieves high healing rates, with few complications, improvement of subjective symptoms and high level of satisfaction of the patients.

• Authors: S J González Palanca, E J González Veiga, G Palmeiro Fernández, J C Domínguez Salgado, H Mariño Méndez, C Varela Ponte
• Journal: Actas urologicas espanolas (Actas Urol Esp (Engl Ed)) Vol. 43 Issue 5 Pg. 254-261 (Jun 2019) ISSN: 2173-5786 [Electronic] Spain
• Vernacular Title: Resultados a largo plazo de la cirugía de prolapsos genitales con mallas de polipropileno.
• PMID: 30955903 (Publication Type: Journal Article, Observational Study)
• Copyright: Copyright © 2019. Publicado por Elsevier España, S.L.U.

Chemical References

• Polypropylenes

Topics

• Aged
• Dyspareunia
• Female
• Humans
• Length of Stay
• Polypropylenes
• Postoperative Complications
• Recurrence
• Retrospective Studies
• Surgical Mesh
• Symptom Assessment
• Treatment Outcome
• Urinary Incontinence, Stress
• Urinary Retention
• Uterine Prolapse (complications, surgery)