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Archives of gynecology and obstetrics
05, 2023;307 (5): 1513-1520.

Effect of anterior vaginal wall prolapse repair by modified transvaginal mesh surgery: a retrospective cohort study.

Pan Hu, Li Lei, Ying Wang, Jing Tang, Lubin Liu
Author Information
  1. Pan Hu: Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China.
  2. Li Lei: Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China.
  3. Ying Wang: Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China.
  4. Jing Tang: Ultrasound, Chongqing Health Center for Women and Children, Chongqing, China.
  5. Lubin Liu: Obstetrics and Gynecology, Chongqing Health Center for Women and Children, No.120, Longshan Road, Yubei District, Chongqing, 410013, China. liulubin1975@126.com. ORCID
PMID: 36773045 DOI: 10.1007/s00404-023-06945-6

Abstract

OBJECTIVE: To explore clinical outcomes and complications of modified Transvaginal mesh (M-TVM) for advanced anterior vaginal wall prolapse in 1 year follow-up.
METHODS: 574 patients underwent TVM surgeries from 2019 to 2020 were collected and divided into TVM group and M-TVM group, all preoperative and postoperative data was obtained and compared between the two groups.
RESULTS: 285 women were involved eventually, including 181 in TVM group and 104 in M-TVM group. No significant difference of general conditions was found between these two groups. After long-term follow-up, patients in TVM group were more likely to suffer from pelvic pain than M-TVM group (P = 0.046). Meshes seemed much wider in M-TVM group (4.5 ± 0.69 cm) than in TVM group (3.0 ± 0.91 cm). No matter TVM or M-TVM, surgeries can significantly change point Aa and Ba when compared to preoperative data. Compared to TVM group, point C and D were significant changed in patients in M-TVM group after surgery (P < 0.001) CONCLUSION: M-TVM is a commendable procedure that can significant correct anterior prolapse with mesh extended wider, and also supply stable apical support at the same time.

Keywords

Anterior vaginal wall prolapse Apical prolapse Mesh shrinkage Pelvic floor Transvaginal mesh

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MeSH Term

Humans
Female
Pelvic Organ Prolapse
Retrospective Studies
Surgical Mesh
Vagina
Prostheses and Implants
Treatment Outcome
Journal Article Research Support, Non-U.S. Gov't

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