Abstract
Introduction: The aim of this study was to assess patient-centered long term outcomes following anterior vaginal repair with mesh. Methods: In January 2015, we identified 124 women who underwent anterior pelvic floor repair with mesh between January 2006 and February 2009. Patient records were reviewed and demographic, clinical, intra-operative and post-operative follow-up data retrieved. Telephone interviews were conducted to access information on clinical outcomes. Associations between baseline characteristics and long term symptoms were assessed by multivariable logistic regression models. Results: Seventy-nine women were reached and consented to participate. Patients were interviewed 79-104 months after surgery. Their mean age at the time of surgery was 62.48 ± 9.53 years; all had stage III cystocele with a mean POP Q point Ba of 5.32 ± 1.47. Twenty-four (30%) had a previous hysterectomy and 26 (33%) had a previous pelvic organ prolapse or stress urinary incontinence operation. At telephone interviews, recurrence of prolapse symptoms was reported by 11 (13.9%) patients, mostly in the posterior compartment. Only 6 needed a corrective procedure. One patient had her mesh removed due to dyspareunia. Eleven (13.9%) reported lower urinary tract symptoms other than prolapse, as follows: stress urinary incontinence (1), overactive bladder (8) and dyspareunia (2). Conclusion: Long term rates of recurrent prolapse, dyspareunia and lower urinary tract symptoms were low for patients who underwent anterior vaginal wall mesh augmentation surgery for symptomatic cystoceles.
Original language | English |
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Pages (from-to) | 33-38 |
Number of pages | 6 |
Journal | International Journal of Surgery |
Volume | 24 |
DOIs | |
State | Published - 1 Dec 2015 |
Keywords
- Adverse symptoms
- Anterior vaginal prolapse
- Long term outcomes
- Mesh augmentation
- Overactive bladder
- Recurrent prolapse surgery
ASJC Scopus subject areas
- Surgery