Medium-term clinical outcomes following surgical repair for vaginal prolapse with tension-free mesh and vaginal support device

Int Urogynecol J. 2012 Apr;23(4):487-93. doi: 10.1007/s00192-011-1600-3. Epub 2011 Dec 6.


Introduction and hypothesis: This study was designed to evaluate clinical outcomes ≥2 years following surgery with polypropylene mesh and vaginal support device (VSD) in women with vaginal prolapse, in a prospective, multi-center setting.

Methods: Patients re-consented for this extended follow-up (n = 110), with anatomic evaluation using Pelvic Organ Prolapse Quantification (POP-Q) and validated questionnaires to assess pelvic symptoms and sexual function. Complications were recorded (safety set; n = 121).

Results: Median length of follow-up was 29 months (range 24-34 months). The primary anatomic success, defined as POP-Q 0-I, was 69.1%; however, in 84.5% of the cases, the leading vaginal edge was above the hymen. Pelvic symptoms and sexual function improved significantly from baseline (p < 0.01). Mesh exposure rate was 9.1%. Five percent reported stress urinary incontinence and 3.3% required further prolapse surgery.

Conclusion: These results indicate this non-anchored mesh repair is a safe and effective treatment for women with symptomatic vaginal prolapse in the medium term.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Gynecologic Surgical Procedures / instrumentation
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Middle Aged
  • Polypropylenes
  • Suburethral Slings* / adverse effects
  • Surgical Mesh* / adverse effects
  • Surveys and Questionnaires
  • Treatment Outcome
  • Uterine Prolapse / surgery*


  • Polypropylenes