Evaluation of a transvaginal mesh delivery system for the correction of pelvic organ prolapse

Subjective and objective findings at least 1 year after surgery

Patrick J. Culligan, Paul M. Littman, Charbel Salamon, Jennifer L. Priestley, Amir Shariati

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Objective We sought to track objective and subjective outcomes <1 year after transvaginal mesh system to correct prolapse. Study Design This was a retrospective cohort study of 120 women who received a transvaginal mesh procedure (Avaulta Solo, CR Bard Inc, Covington, GA). Outcomes were pelvic organ prolapse quantification values; Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores; and a surgical satisfaction survey. "Surgical failure" was defined as pelvic organ prolapse quantification point >0, and/or any reports of vaginal bulge. Results Of 120 patients, 116 (97%) were followed up for a mean of 14.4 months (range, 1230). In all, 74 patients had only anterior mesh, 21 only posterior mesh, and 21 both meshes. Surgical cure rate was 81%. Surgical failure was more common if preoperative point C <+2 (35% vs 16%; P = .04). Mesh erosion and de novo pain occurred in 11.7% and 3.3%, respectively. Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores improved (P < .01). Conclusion Objective and subjective improvements occurred at <1 year, yet failure rates were high when preoperative point C was <+2.

Original languageEnglish (US)
Pages (from-to)506.e1-506.e6
JournalAmerican Journal of Obstetrics and Gynecology
Volume203
Issue number5
DOIs
StatePublished - Jan 1 2010

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Pelvic Organ Prolapse
Pelvic Floor
Pain
Equipment and Supplies
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

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title = "Evaluation of a transvaginal mesh delivery system for the correction of pelvic organ prolapse: Subjective and objective findings at least 1 year after surgery",
abstract = "Objective We sought to track objective and subjective outcomes <1 year after transvaginal mesh system to correct prolapse. Study Design This was a retrospective cohort study of 120 women who received a transvaginal mesh procedure (Avaulta Solo, CR Bard Inc, Covington, GA). Outcomes were pelvic organ prolapse quantification values; Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores; and a surgical satisfaction survey. {"}Surgical failure{"} was defined as pelvic organ prolapse quantification point >0, and/or any reports of vaginal bulge. Results Of 120 patients, 116 (97{\%}) were followed up for a mean of 14.4 months (range, 1230). In all, 74 patients had only anterior mesh, 21 only posterior mesh, and 21 both meshes. Surgical cure rate was 81{\%}. Surgical failure was more common if preoperative point C <+2 (35{\%} vs 16{\%}; P = .04). Mesh erosion and de novo pain occurred in 11.7{\%} and 3.3{\%}, respectively. Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores improved (P < .01). Conclusion Objective and subjective improvements occurred at <1 year, yet failure rates were high when preoperative point C was <+2.",
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Evaluation of a transvaginal mesh delivery system for the correction of pelvic organ prolapse : Subjective and objective findings at least 1 year after surgery. / Culligan, Patrick J.; Littman, Paul M.; Salamon, Charbel; Priestley, Jennifer L.; Shariati, Amir.

In: American Journal of Obstetrics and Gynecology, Vol. 203, No. 5, 01.01.2010, p. 506.e1-506.e6.

Research output: Contribution to journalArticle

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AB - Objective We sought to track objective and subjective outcomes <1 year after transvaginal mesh system to correct prolapse. Study Design This was a retrospective cohort study of 120 women who received a transvaginal mesh procedure (Avaulta Solo, CR Bard Inc, Covington, GA). Outcomes were pelvic organ prolapse quantification values; Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores; and a surgical satisfaction survey. "Surgical failure" was defined as pelvic organ prolapse quantification point >0, and/or any reports of vaginal bulge. Results Of 120 patients, 116 (97%) were followed up for a mean of 14.4 months (range, 1230). In all, 74 patients had only anterior mesh, 21 only posterior mesh, and 21 both meshes. Surgical cure rate was 81%. Surgical failure was more common if preoperative point C <+2 (35% vs 16%; P = .04). Mesh erosion and de novo pain occurred in 11.7% and 3.3%, respectively. Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores improved (P < .01). Conclusion Objective and subjective improvements occurred at <1 year, yet failure rates were high when preoperative point C was <+2.

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