Long term subjective cure rate, urinary tract symptoms and dyspareunia following mesh augmented anterior vaginal wall prolapse repair

A. Y. Weintraub, T. Friedman, Y. Baumfeld, M. Neuman, H. Krissi

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

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 languageEnglish
Pages (from-to)33-38
Number of pages6
JournalInternational Journal of Surgery
Volume24
DOIs
StatePublished - 1 Dec 2015

Keywords

  • Adverse symptoms
  • Anterior vaginal prolapse
  • Long term outcomes
  • Mesh augmentation
  • Overactive bladder
  • Recurrent prolapse surgery

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