Obstet Gynecol Sci.  2016 May;59(3):208-213. 10.5468/ogs.2016.59.3.208.

A clinical study on the trocar-guided mesh repair system for pelvic organ prolapse surgery

Affiliations
  • 1Department of Obstetrics and Gynecology, Presbyterian Medical Center, Jeonju, Korea. seongsu69@hanmail.net

Abstract


OBJECTIVE
To evaluate the complication and recurrence rates in patients undergoing trocar-guided mesh implant for pelvic organ prolapse (POP) treatment.
METHODS
A retrospective study was performed based on the medical records of patients who had undergone mesh implant by one surgeon from May 2006 to August 2013 at the Presbyterian Medical Center in Korea. We evaluated perioperative complications such as bladder injury, mesh exposure, urinary symptoms, infections, and chronic pelvic pain. Recurrence was defined as a POP-quantification system stage ≥II or any symptomatic prolapse.
RESULTS
Sixty-seven patients were evaluated, and the mean age of patients was 65.4±7.2 years. Stage ≥III POP-quantification Ba was noted in 61 patients (91%). Intraoperative complications included three cases of bladder injury (4.5%). The mean follow-up period was 44.1±7.9 months. Postoperative complications occurred in seven women (10.5%): four cases of urinary symptoms (6%), two cases of infections (3%), and one case of chronic pelvic pain (1.5%). Mesh exposure did not occur (0%). Prolapse recurrence was reported in five patients (7.5%).
CONCLUSION
Based on our operational result, the trocar-guided mesh implant seems to provide safe and effective outcomes.

Keyword

Complications; Pelvic organ prolapse; Recurrence; Surgical mesh

MeSH Terms

Female
Follow-Up Studies
Humans
Intraoperative Complications
Korea
Medical Records
Pelvic Organ Prolapse*
Pelvic Pain
Postoperative Complications
Prolapse
Protestantism
Recurrence
Retrospective Studies
Surgical Mesh
Urinary Bladder
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