scholarly journals Canadian Urological Association position statement on the use of transvaginal mesh

2017 ◽  
Vol 11 (6S2) ◽  
pp. 105 ◽  
Author(s):  
Blayne Welk ◽  
Kevin V. Carlson ◽  
Richard J. Baverstock ◽  
Stephen S. Steele ◽  
Gregory G. Bailly ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Stress Incontinence ◽  
Position Statement ◽  
Pelvic Organ ◽  
Transvaginal Mesh ◽  
Current Evidence ◽  
Prolapse Repair ◽  
Potential Risks ◽  
High Level

Stress incontinence (SUI) and pelvic organ prolapse (POP) are common conditions. There is high-level evidence that midurethral mesh slings for stress incontinence are effective and safe; however, the rare but serious potential risks of this surgery must be discussed with the patient. The use of transvaginal mesh for prolapse repair does not appear to be supported by the current evidence, and its use should be restricted to specialized pelvic floor surgeons and specific clinical situations.

Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors

2005 ◽  
Vol 17 (4) ◽  
pp. 315-320 ◽  
Author(s):  
Pierre Collinet ◽  
Franck Belot ◽  
Philippe Debodinance ◽  
Edouard Ha Duc ◽  
Jean-Philippe Lucot ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Transvaginal Mesh ◽  
Mesh Exposure ◽  
Prolapse Repair ◽  
Pelvic Organ Prolapse Repair ◽  
Mesh Technique

scholarly journals Safety and Effectiveness of Transvaginal Mesh Placement in Treating Pelvic Organ Prolapse

2019 ◽  
Author(s):  
Zeyu Chen ◽  
Wensheng Du ◽  
Haitao Zhu
Keyword(s):  
Pelvic Organ Prolapse ◽  
Blood Loss ◽  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Operation Time ◽  
Pelvic Organ ◽  
Transvaginal Mesh ◽  
Mesh Exposure ◽  
Intraoperative Blood Loss ◽  
Postoperative Fever

Abstract To observe the clinical effect and complications of transvaginal mesh (TVM) placement on treating pelvic organ prolapse (POP).Methods From May 2014 to June 2017, 89 patients with moderate to severe pelvic organ prolapse and pelvic floor defect (PFD) had received TVM pelvic reconstruction at our hospital. The operation time, intraoperative blood loss and intraoperative complications of all patients were recorded, and the incidence of postoperative complications was also observed. In addition, the POP-Q was utilized to evaluate the severity of POP in patients before surgery, as well as at 6 weeks, 6 months, 12 months and 24 months after surgery, respectively; besides, the Pelvic Floor Influence Questionnaire-7 (PFIQ-7), Pelvic Floor Dysfunction Inventory 20 (PFDI-20), and Patient Global Impression of Improvement (PGI-I) were adopted to evaluate the quality of life of patients.Results All the 89 cases had successfully completed the surgery, with the operation time of 60.0±13.0 min and the intraoperative blood loss of 57.2±21.9 mL. All patients had no bladder or rectal injury during the surgery. 2 patients displayed asymptomatic recurrence ,10 cases had postoperative fever, while 3 had mesh exposure, and all of them were improved after symptomatic treatment. Upon discharge, the lumbosacral and pubic discomfort, as well as pelvic organ dragging sensation had disappeared in all patients. In the final follow-up, the PFIQ-7 and PFDI-20 scores in the 89 cases were reduced compared with those before surgery (Ps<0.05).Conclusions TVM placement is effective on treating moderate to severe POP, which is associated with a lower complication rate and higher postoperative satisfaction.

Nonsurgical Management Options for Pelvic Organ Prolapse: Review of the Current Evidence

2018 ◽  
Author(s):  
Nathan Kow
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Uterine Prolapse ◽  
Pelvic Floor Muscle ◽  
Treatment Options ◽  
Pelvic Organ ◽  
Current Evidence ◽  
Management Options ◽  
Nonsurgical Management ◽  
First Line Therapy

Pelvic organ prolapse (POP) is a common disorder that impacts a woman’s quality of life and has been projected to increase in the near future. Although many different treatments are currently available, healthcare practioners should be familiar with the common nonsurgical options that are considered the first-line therapy. Advances in nonsurgical interventions have traditionally included pessaries and pelvic floor muscle therapy.  These optiosn have not changed much over time, however there have been recent trials providing more evidence with regards to their efficacy.  The objective of this article is to review the current evidence for nonsurgical treatment options for POP.  This review contains 2 tables and 19 references Key Words: pelvic floor muscle training, pelvic floor physical therapy, pelvic organ prolapse, pessary, kegel excercises, uterine prolapse, cystocele, rectocele

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