to Obstetric Trauma Pelvic Floor Repair Surgical Essentials - AGES
to Obstetric Trauma Pelvic Floor Repair Surgical Essentials - AGES
to Obstetric Trauma Pelvic Floor Repair Surgical Essentials - AGES
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<strong>AGES</strong><br />
<strong>Pelvic</strong> <strong>Floor</strong><br />
Symposium &<br />
Workshop XII<br />
2011<br />
<strong>to</strong><br />
<strong>Obstetric</strong> <strong>Trauma</strong><br />
<strong>Pelvic</strong> <strong>Floor</strong> <strong>Repair</strong><br />
<strong>Surgical</strong> <strong>Essentials</strong><br />
Session 7 - Free Communications C<br />
1450-1500<br />
Outcomes of transvaginal prolift ®<br />
mesh repair for pelvic floor<br />
prolapse at CARE, Sydney<br />
Patel PS, Dunkley EJC, Kaufman Y, Lam A<br />
In 2008, we presented our centre’s initial experience with the<br />
transvaginal Prolift ® mesh repair technique. After two more years of<br />
experience, we provide an update on the success and complications<br />
encountered with this procedure.<br />
This prospective analysis included all patients who underwent Prolift<br />
mesh repair at our university-affiliated tertiary referral centre up<br />
until December 2010. All procedures were performed by a single<br />
surgeon.<br />
Cure was evaluated subjectively based on patients’ answers <strong>to</strong><br />
standardised questions regarding bowel, bladder and sexual<br />
function, and objectively by pelvic exam findings at pre- and pos<strong>to</strong>perative<br />
visits using the pelvic organ prolapse quantification<br />
(POP-Q) scale. Pos<strong>to</strong>perative follow-up included routine visits at 6<br />
weeks and 12 months, as well as any unscheduled visits.<br />
The primary outcome was objective ana<strong>to</strong>mic cure, defined as<br />
a POP-Q stage of ≤1. Secondary outcomes included subjective<br />
cure, operative morbidity, including, intra-operative complications,<br />
operative duration, estimated blood loss, and immediate and longterm<br />
post-operative complications, such as mesh erosions, de novo<br />
stress incontinence and dyspareunia, and re-operation rates for<br />
prolapse or incontinence.<br />
AUTHOR AFFILIATION: P. S. Patel, E. J. C. Dunkley, Y. Kaufman,<br />
A. Lam; Centre for Advanced Reproductive Endosurgery (CARE), St<br />
Leonards, NSW, Australia.<br />
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