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A prospective comparison of two commercial mesh kits in the management of anterior vaginal prolapse

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Abstract

Introduction and hypothesis

Vaginal mesh kits are increasingly used in the management of pelvic organ prolapse. This study aimed to determine similarity of outcomes of the Anterior Prolift® with Perigee® systems for anterior compartment prolapse.

Methods

Consecutive women undergoing Perigee® or Anterior Prolift® for symptomatic stage 2 or greater anterior vaginal prolapse were prospectively evaluated. Main outcome measures included objective and subjective success rates, perioperative outcomes, patient satisfaction, and complications.

Results

One hundred and six women (Prolift, 52; Perigee, 54) completed questionnaires, and 91 (Prolift, 46; Perigee, 45) were examined postoperatively. At follow-up (Prolift: median, 11.0; range, 5–23 months; Perigee: median, 11.5; range, 6–23 months), objective success rates (Prolift, 89%; Perigee, 80%; p = 0.23), subjective success rates (Prolift, 94%; Perigee, 96%; p = 0.62), mean ± SD patient satisfaction (Prolift, 8.2 ± 2.0; Perigee, 8.2 ± 1.8; p = 0.91), and complication rates did not differ significantly between the two groups.

Conclusions

The Anterior Prolift® was found to not differ significantly from Perigee® at 11 months.

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Abbreviations

POP-Q:

Pelvic organ prolapse quantification

RCT:

Randomized controlled trial

POP:

Pelvic organ prolapse

TVT-O:

Tension-free vaginal tape–obturator

APFQ:

Australian pelvic floor questionnaire

SD:

Standard deviation

SUI:

Stress urinary incontinence

UTI:

Urinary tract infection

IDC:

Indwelling catheter

CISC:

Clean intermittent self-catheterizations

ADL:

Activities of daily living

References

  1. Feiner B, Jelovsek JE, Maher C (2009) Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. BJOG 116:15–24

    PubMed  CAS  Google Scholar 

  2. Nguyen JN, Burchette RJ (2008) Outcome after anterior vaginal prolapse repair: a randomized controlled trial. Obstet Gynecol 111:891–898

    Article  PubMed  Google Scholar 

  3. Nieminen K, Hiltunen R, Heiskanen E, Takala T, Niemi K, Merikari M, Heinonen PK (2008) Symptom resolution and sexual function after anterior vaginal wall repair with or without polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 19:1611–1616

    Article  PubMed  Google Scholar 

  4. Sivaslioglu AA, Unlubilgin E, Dolen I (2008) A randomized comparison of polypropylene mesh surgery with site-specific surgery in the treatment of cystocoele. Int Urogynecol J Pelvic Floor Dysfunct 19:467–471

    Article  PubMed  CAS  Google Scholar 

  5. Maher C, Feiner B, Baessler K, Adams EJ, Hagen S, Glazener CM (2010) Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 4:CD004014

    PubMed  Google Scholar 

  6. Altman D, Vayrynen T, Engh ME, Axelsen S, Falconer C (2011) Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse. N Engl J Med 364:1826–1836

    Article  PubMed  CAS  Google Scholar 

  7. Iglesia CB, Sokol AI, Sokol ER, Kudish BI, Gutman RE, Peterson JL, Shott S (2011) Vaginal mesh for prolapse: a randomized controlled trial. Obstet Gynecol 116:293–303

    Article  Google Scholar 

  8. Maher CF, Feiner B, Decuyper EM, Nichlos CJ, Hickey KV, O'Rourke P (2011) Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. Am J Obstet Gynecol 204(4):360.e1–360.e7

    Article  Google Scholar 

  9. Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B (2007) Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)–a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 18:743–752

    Article  PubMed  CAS  Google Scholar 

  10. Gauruder-Burmester A, Koutouzidou P, Rohne J, Gronewold M, Tunn R (2007) Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogynecol J Pelvic Floor Dysfunct 18:1059–1064

    Article  PubMed  CAS  Google Scholar 

  11. Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17

    Article  PubMed  CAS  Google Scholar 

  12. Maher C, Dwyer P, Carey M, Gilmour D (1999) The Burch colposuspension for recurrent urinary stress incontinence following retropubic continence surgery. Br J Obstet Gynaecol 106:719–724

    Article  PubMed  CAS  Google Scholar 

  13. Baessler K, O'Neill SM, Maher CF, Battistutta D (2009) Australian pelvic floor questionnaire: a validated interviewer-administered pelvic floor questionnaire for routine clinic and research. Int Urogynecol J Pelvic Floor Dysfunct 20:149–158

    Article  PubMed  Google Scholar 

  14. Feiner B, Maher C (2010) Vaginal mesh contraction: definition, clinical presentation, and management. Obstet Gynecol 115:325–330

    Article  PubMed  Google Scholar 

  15. Long CY, Hsu CS, Jang MY, Liu CM, Chiang PH, Tsai EM (2011) Comparison of clinical outcome and urodynamic findings using “Perigee and/or Apogee” versus “Prolift anterior and/or posterior” system devices for the treatment of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 22(2):233–239

    Article  Google Scholar 

  16. Aungst MJ, Friedman EB, von Pechmann WS, Horbach NS, Welgoss JA (2009) De novo stress incontinence and pelvic muscle symptoms after transvaginal mesh repair. Am J Obstet Gynecol 201:73.e1–73.e7

    Article  Google Scholar 

  17. de Tayrac R, Deffieux X, Gervaise A, Chauveaud-Lambling A, Fernandez H (2006) Long-term anatomical and functional assessment of trans-vaginal cystocele repair using a tension-free polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 17:483–488

    Article  PubMed  Google Scholar 

  18. Lowman JK, Jones LA, Woodman PJ, Hale DS (2008) Does the Prolift system cause dyspareunia? Am J Obstet Gynecol 199:707.e1–707.e6

    Article  Google Scholar 

  19. Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schluter PJ (2004) Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 190:20–26

    Article  PubMed  Google Scholar 

  20. Nieminen K, Huhtala H, Heinonen PK (2003) Anatomic and functional assessment and risk factors of recurrent prolapse after vaginal sacrospinous fixation. Acta Obstet Gynecol Scand 82:471–478

    Article  PubMed  Google Scholar 

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Funding

The study was supported by a competitive research grant from the Australian Gynaecological Endoscopy Society (AGES), 2008, Sydney, Australia

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Royal Women’s, Wesley and Mater Urogynaecology, Brisbane, QLD, Australia

    Benjamin Feiner & Christopher Maher

  2. Queensland Institute of Medical Research (QIMR), Brisbane, QLD, Australia

    Peter O’Rourke

  3. Department of Obstetrics & Gynecology, Hillel Yaffe Medical Center, PO Box 169, Hadera, 38100, Israel

    Benjamin Feiner

  4. Technion University, Rappaport Faculty of Medicine, Haifa, Israel

    Benjamin Feiner

Authors
  1. Benjamin Feiner
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  2. Peter O’Rourke
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  3. Christopher Maher
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Corresponding author

Correspondence to Benjamin Feiner.

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Feiner, B., O’Rourke, P. & Maher, C. A prospective comparison of two commercial mesh kits in the management of anterior vaginal prolapse. Int Urogynecol J 23, 279–283 (2012). https://doi.org/10.1007/s00192-011-1578-x

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  • DOI: https://doi.org/10.1007/s00192-011-1578-x

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