One-year clinical outcomes after prolapse surgery with nonanchored mesh and vaginal support device

Am J Obstet Gynecol. 2010 Dec;203(6):587.e1-8. doi: 10.1016/j.ajog.2010.08.001.


Objective: The purpose of this study was to evaluate outcomes after standardized transvaginal prolapse repair with nonanchored mesh and a vaginal support device.

Study design: Postoperative vaginal support was assessed by pelvic organ prolapse quantitative examination after repair of symptomatic stage II/III prolapse. Validated questionnaires assessed pelvic symptoms and sexual function. Visual analog scales quantified experience with the vaginal support device.

Results: One hundred thirty-six women received the planned surgery; 95.6% of the women returned for the 1-year assessment: 76.9% of the cases were stage 0/I; however, in 86.9% of the cases, the leading vaginal edge was above the hymen. Pelvic symptoms, quality of life, and sexual function improved significantly from baseline (P < .05). Median visual analog scale scores for vaginal support device awareness and discomfort were 2.6 and 1.2, respectively (0 = none; 10 = worst possible).

Conclusion: Vaginal support, pelvic symptoms, and sexual function improved at 1 year, compared with baseline, after trocar-free prolapse repair with nonanchored mesh and a vaginal support device.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Aged
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Middle Aged
  • Patient Satisfaction
  • Postoperative Care / methods
  • Prospective Studies
  • Prosthesis Design
  • Prosthesis Implantation / methods
  • Quality of Life*
  • Risk Assessment
  • Suburethral Slings*
  • Surgical Mesh*
  • Time Factors
  • Treatment Outcome
  • Uterine Prolapse / diagnosis
  • Uterine Prolapse / surgery*