Laparoscopic sacrocolpopexy for recurrent pelvic organ prolapse after failed transvaginal polypropylene mesh surgery

Schmid, C., O'Rourke, P. and Maher, C. (2013) Laparoscopic sacrocolpopexy for recurrent pelvic organ prolapse after failed transvaginal polypropylene mesh surgery. International Urogynecology Journal and Pelvic Floor Dysfunction, 24 5: 763-767. doi:10.1007/s00192-012-1926-5

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Author Schmid, C.
O'Rourke, P.
Maher, C.
Title Laparoscopic sacrocolpopexy for recurrent pelvic organ prolapse after failed transvaginal polypropylene mesh surgery
Journal name International Urogynecology Journal and Pelvic Floor Dysfunction   Check publisher's open access policy
ISSN 0937-3462
1433-3023
Publication date 2013
Sub-type Article (original research)
DOI 10.1007/s00192-012-1926-5
Open Access Status
Volume 24
Issue 5
Start page 763
End page 767
Total pages 5
Place of publication London, England, U.K.
Publisher Springer U K
Collection year 2014
Language eng
Subject 2748 Urology
2729 Obstetrics and Gynaecology
Abstract Introduction and hypothesis: A prospective case series to assess the safety and efficacy of laparoscopic sacrocolpopexy for the surgical management of recurrent pelvic organ prolapse (POP) after transvaginal polypropylene mesh prolapse surgery. Methods: Between January and December 2010, women with post-hysterectomy recurrent prolapse (≥ stage 2 POP-Q) after transvaginal polypropylene mesh prolapse surgery were included. Perioperative morbidity and short-term complications were recorded and evaluated. Surgical outcomes were objectively assessed utilising the Pelvic Organ Prolapse Quantification system (POP-Q), the validated, condition-specific Australian Pelvic Floor Questionnaire (APFQ) and the Patient Global Impression of Improvement (PGI-I) at 12 months. Results: All 16 women in this study had undergone surgery with trocar-guided transvaginal polypropylene mesh kits. In 75% the recurrent prolapse affected the compartment of prior mesh surgery with the anterior (81%) and apical (75%) compartment prolapse predominating. At a mean follow-up of 12 months, all women had resolution of awareness of prolapse, had < stage 2 POP-Q on examination and high levels of satisfaction on PGI-I post surgery. There were no serious peri- or postoperative complications. Conclusions: This preliminary study suggests that laparoscopic sacrocolpopexy for recurrent prolapse after failed transvaginal mesh surgery is feasible and safe. Further widespread evaluation is required.
Keyword Failed transvaginal polypropylene mesh prolapse surgery
Laparoscopic sacrocolpopexy
Recurrent prolapse
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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Created: Sun, 27 Apr 2014, 11:15:11 EST by Matthew Lamb on behalf of School of Medicine