PN after sacrospinal fixation with mesh

[Violet M]

Prog Urol. 2012 Dec;22(17):1077-83. doi: 10.1016/j.purol.2012.10.005. Epub 2012 Nov 15.
[Utero-vaginal suspension using a bilateral vaginal anterior sacrospinous fixation with mesh. Preliminary results].
[Article in French]
Rivaux G, Fatton B, Letouzey V, Cayrac M, Boileau L, de Tayrac R.
Source
Service de gynécologie-obstétrique, CHU Carémeau, place du Professeur-Robert-Debré, 30029 Nîmes cedex 9, France.
Abstract
OBJECTIVE:
To assess anatomical and functional preliminary results, and safety of a new surgical approach for a combined treatment of pelvic organ prolapse (POP) of anterior and medium compartments, using a mesh attached through the sacrospinous ligaments with the UpHold(®) system (Boston Scientific) and the Capio(®).
http://www.ncbi.nlm.nih.gov/pubmed/23182123

MATERIAL AND METHODS:
A longitudinal case series of 59 consecutive patients operated between October 2009 and January 2012, by five senior surgeons in a single tertiary unit.
RESULTS:
Mean age was 66.9 years. Ten patients (17%) had previous pelvic organ prolapse (POP) surgery. There was no intraoperative complication. Mean follow-up was 12 months. Anatomical success for both anterior and apical compartments, i.e. Ba and C/D point<1, was 93% (52/56). Anatomical results shown correction of cystocele with a mean Ba point from+0.79 cm (range -3 to +8) to -2.35 cm (range -3 to 0), correction of uterine/vaul prolapse with a mean C/D point from+0.14 cm (range -6 to+8) to -7.29 cm (range -9 to -1), and correction of rectocele with a mean Bp point from -0.68 cm (range -3 to 7) to -2.77 cm (range -3 to -1). Two patients required further surgery for mesh exposure (3.5%). One patient had a unilateral pudendal neuropathic pain postoperatively.
CONCLUSION:
In the current series, utero-vaginal suspension using a bilateral vaginal anterior sacrospinous fixation with mesh was associated with good anatomical success rates. Prospective, comparative and long-term data are needed.
Copyright © 2012 Elsevier Masson SAS. All rights reserved.
PMID: 23182123 [PubMed - indexed for MEDLINE]