scholarly journals Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Alexander Condrea ◽  
Itamar Netzer ◽  
Shimon Ginath ◽  
Joseph Eldor-Itskovitz ◽  
Abraham Golan ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Uterine Prolapse ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Open Questions ◽  
Clinical Scenarios ◽  
Recurrent Pelvic Organ Prolapse ◽  
The Common ◽  
Pop Repair ◽  
Type Of Surgery

The use of vaginal mesh in pelvic organ prolapse (POP) repair surgery has become more common in recent years. The purpose of the current study was to evaluate the common practice of Israeli urogynecologists, and to determine whether surgical practice has changed over the last two years.Methods. In 2009 and again in 2011, a survey was mailed to all urogynecologists affiliated with an academic institute in Israel. The survey consisted of 7 Likert-scale items and 3 open questions; the latter inquired about preferred type of surgery in three clinical scenarios.Results. Of 22 practitioners, 15 responded to the survey. The number of urogynecologists who reported using vaginal mesh for the repair of primary POP increased from 47 to 67% from 2009 to 2011. The number who would not use vaginal mesh in POP repair of elderly patients dropped from 60 to 3%. Finally, for the treatment of a 35-year-old patient with stage III uterine prolapse who desired to preserve fertility, 13% recommended the used vaginal mesh in 2009 compared with 47% in 2011.Conclusion. A survey of practitioners shows that the use of vaginal mesh for the repair of primary and recurrent pelvic organ prolapse has become more common among Israeli urogynecologists.

Pelvic Organ Prolapse Repair with Mesh: Description of Surgical Technique Using the Surelift® Anterior Repair System

2020 ◽  
pp. 1-6
Author(s):  
Laura Mateu-Arrom ◽  
Cristina Gutiérrez-Ruiz ◽  
Joan Palou Redorta ◽  
Carlos Errando-Smet
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Technique ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Repair System ◽  
Mesh Exposure ◽  
Anterior Repair ◽  
Preliminary Results ◽  
Pop Repair

<b><i>Introduction:</i></b> Although the use of transvaginal mesh (TVM) in the repair of pelvic organ prolapse (POP) has been restricted, there are still some cases in which TVM may be the most appropriate approach. The TVM Surelift® anterior repair surgical technique has not been described previously. <b><i>Objective:</i></b> The aim of this study was to describe the surgical technique and to report our preliminary results regarding efficacy and complications. <b><i>Methods:</i></b> A step-by-step description of surgical technique is presented. A descriptive retrospective analysis was performed to evaluate our preliminary results in 17 women who underwent POP repair using the Surelift® anterior repair system in our department between 2014 and 2017. TVM was offered to patients with symptomatic apical (primary or recurrent) or recurrent anterior POP stage ≥2. POP recurrence was classified as asymptomatic anatomic or symptomatic. Patients rated satisfaction with surgery on a scale from 0 to 10. Complications during follow-up were classified according to the International Urogynecological Association/International Continence Society recommendations. <b><i>Results:</i></b> Median (IQR) follow-up was 19.9 months (24.8). Two (11.8%) anatomic recurrences were identified, both symptomatic, but neither required further surgery. No cases of pelvic pain, dyspareunia, voiding, or defecatory dysfunction were detected. Two (11.8%) patients presented a &#x3c;1-cm vaginal mesh exposure (2AaT3S2) requiring partial mesh removal through a vaginal approach. At the end of follow-up, median satisfaction (IQR) with the surgery was 9 (3.1). <b><i>Conclusion:</i></b> The Surelift® anterior repair system is effective in correcting apical or recurrent anterior POP, with a high patient satisfaction rate. Complications after this surgery are infrequent and are mostly related to vaginal mesh exposure.

Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

2021 ◽  
Author(s):  
Sofia Tsiapakidou ◽  
Christiana Campani Nygaard ◽  
Janna Pape ◽  
Thais R Mattos Lourenço ◽  
Gabriele Falconi ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Agree Ii ◽  
Agree Ii Instrument

scholarly journals MP33-05 ROLE OF HYSTERECTOMY AT THE TIME OF NATIVE PELVIC ORGAN PROLAPSE (POP) REPAIR

2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Bilal Chughtai ◽  
Dominique Thomas ◽  
Jialin Mao ◽  
Tirsit Asfaw ◽  
Jennifer Anger ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Pop Repair

scholarly journals Laparoscopic cervicopexy in uterine prolapse, a prospective study

2019 ◽  
Vol 8 (9) ◽  
pp. 3492
Author(s):  
Anu Aliyar ◽  
Saphina Palakkan ◽  
Abdul Vahab ◽  
Mumtaz P.
Keyword(s):  
Pelvic Organ Prolapse ◽  
Postoperative Complications ◽  
Uterine Prolapse ◽  
Pelvic Organ ◽  
Synthetic Mesh ◽  
Medical College ◽  
Younger Age ◽  
Effective Option ◽  
Mersilene Tape ◽  
A Prospective Study

Background: Pelvic organ prolapse is a common condition and a major cause of gynecological surgery. The lifetime risk of having an operation for prolapse may be 11%. Uterine conserving surgeries using synthetic mesh, especially in younger age group can restore normal anatomy relieving their pelvic symptoms. To evaluate the safety, intra operative and postoperative complications and efficacy of the laparoscopic cervicopexy.Methods: This Prospective observational study was carried out on women aged below 45 years attending gynaecology outpatient department with uterine prolapse at MES Medical College, Perinthalmanna between January 1st and December 31st, 2015. 39 women underwent laparoscopic cervicopexy and follow up assessments was done among them at 2 weeks, 3 months and 6 months. Results: The mean operative time was 27.6 minutes and blood loss was 0.4 gm/dl. No intraoperative and postoperative complications occurred. Short duration of hospital stay with mean of 1.4 days. 7.7% patients and 5.5% had mersilene tape reaction at 3 months and 6 months. The POP Q score C was significantly away from hymen at 2 weeks,3 months and 6 months (+4.4 - -4.3). 7.7% and 2.6% had recurrence at 3 month and 6 months. 5.1% underwent vaginal hysterectomy to get relieved from symptom.Conclusion: Laparoscopic cervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation.

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