Effect of surgical procedure using mesh in patients with recurrent pelvic organ prolapse.
Dr Hyeon Woo Kim (1), Dr Dong Gil Shin (1), Dr Chul Soo Yoon (2), Dr Seong Choi (3), Dr Won Yeol Cho (4), Dr Kweon Sik Min (5), Dr Tae Hee Oh (6), Dr Wan Lee (7), Dr Si Kyun Park (1), Dr Jeong Zoo Lee (1)
(1) Pusan National University Hospital, Busan, South Korea, (2) BHS Han-seo Hospital, Busan, South Korea, (3) Kosin University College of Medicine, Busan, South Korea, (4) Dong-A University Hospital, Busan, South Korea, (5) Inje University Busan Paik Hospital, Busan, South Korea, (6) Samsung Changwon Hospital, Changwon , South Korea, (7) Ulsan-Jeil Hospital, Ulsan, South Korea
This study aims to evaluate the efficacy and the safety of pelvic organ prolapse (POP) repair using mesh in females with recurrent POP.
A total of 36 recurrennt POP patients who received POP repair using mesh (anterior, posterior, and total Prolift) were included. For preoperative evaluation of the patients, history taking, physical examination, and urodynamic studies were performed. Surgical outcome was evaluated by physical examination at 3 postoperative months: stage 0 and stage 1 prolapse was regarded as cured and improved, respectively, while stage 2 to stage 4 prolapse were regarded as a failure. Subjective satisfaction and postoperative complications were investigated by telephone questionnaires.
At 3 postoperative months, 77.78% and 22.22% of the patients were cured and improved, respectively. Also, 83.33% were satisfied while 16.67% were disappointed. No one showed surgical failure or regretted the surgery. Postoperative de novo urinary frequency and urgency occurred in 16.67% and 5.56%, respectively.
Prolift surgery using mesh is a safe procedure which has an excellent surgical outcome as well as a high satisfaction rate for patients with recurrent POP.