Vaginal surgery for pelvic organ prolapse using mesh and a vaginal support device
2008

Vaginal Surgery for Pelvic Organ Prolapse

Sample size: 95 publication Evidence: moderate

Author Information

Author(s): Carey M, Slack M, Higgs P, Wynn-Williams M, Cornish A

Primary Institution: Royal Women’s Hospital Melbourne, Victoria, Australia

Hypothesis

To describe a new surgical procedure for pelvic organ prolapse using mesh and a vaginal support device (VSD) and to report the results of surgery.

Conclusion

Vaginal surgery using mesh and a VSD is an effective procedure for pelvic organ prolapse.

Supporting Evidence

  • Objective success rate was 92% at 6 months and 85% at 12 months.
  • Subjective success rate was 91% at 6 months and 87% at 12 months.
  • Quality of life scores significantly improved at 12 months compared to baseline.

Takeaway

This study shows that a new type of surgery using mesh and a support device can help fix problems with pelvic organ prolapse in women.

Methodology

A prospective observational study involving 95 women who underwent vaginal surgery with mesh and a VSD, with follow-ups at 6 and 12 months.

Limitations

Further studies are required to establish the role of the surgery described in this study.

Participant Demographics

Mean age of participants was 59 years, with a mean parity of 2.6; 43% had prior hysterectomy.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1111/j.1471-0528.2007.01606.x

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