Efficacy and patient satisfaction of pelvic organ prolapse reduction using transvaginal mesh: A Canadian perspective

  • Mélanie Aubé Université de Sherbrooke
  • Marilyne Guérin Université Laval
  • Caroline Rhéaume Université Laval
  • Le Mai Tu Université de Sherbrooke

Abstract

Introduction: Due to U.S Food and Drud Administration warnings and class-action lawsuits, the use of transvaginal mesh for pelvic organ prolapse surgery is controversial. We report data from two Canadian centres, focusing on recurrence and reoperation rates, complication rates, and patient satisfaction.

Methods: A retrospective medical chart review was performed. Patients were also invited to a long-term followup clinic for a complete questionnaire and gynecological exam. Patients unable to present to clinic for followup had the option to answer the questionnaire via telephone.

Results: A total of 334 patients were operated between 2000 and 2013. Median followup was 38 months for questionnaire and 36 months for physical exam. Thirty-seven patients (11.1%) required repeat operation, including 17 for recurrent prolapse and 10 for mesh exposure; 98.8% of patients reported feeling subjectively improved by their prolapse surgery.

Conclusions: Midterm results are satisfactory and patient subjective satisfaction is high following transvaginal mesh repair of pelvic organ prolapse.

Author Biographies

Mélanie Aubé, Université de Sherbrooke
Fellow, genitourinary reconstructive surgery
Marilyne Guérin, Université Laval
Resident, Department of Obstetrics and Gynecology
Caroline Rhéaume, Université Laval
Professor of obstetrics and gynecology, Department of obstetrics and gynecology
Le Mai Tu, Université de Sherbrooke
Professor of Urology, Department of Urology
Published
2018-05-25
How to Cite
Aubé, M., Guérin, M., Rhéaume, C., & Tu, L. M. (2018). Efficacy and patient satisfaction of pelvic organ prolapse reduction using transvaginal mesh: A Canadian perspective. Canadian Urological Association Journal, 12(10). https://doi.org/10.5489/cuaj.5095
Section
Original Research