to Obstetric Trauma Pelvic Floor Repair Surgical Essentials - AGES

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