Medium-term comparison of uterus preservation versus hysterectomy in pelvic organ prolapse treatment with Prolift™ mesh

Li Yi Huang, Li Ching Chu, Hsin ju Chiang, Fei Chi Chuang, Fu Tsai Kung, Kuan Hui Huang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

15 Scopus citations

Abstract

Introduction and hypothesis: We conducted a medium-term assessment of clinical outcomes and complications after surgical repair of pelvic organ prolapse (POP) using Prolift™ mesh, and sought to determine whether concomitant hysterectomy clinically influenced the outcome of pelvic reconstruction in patients without a prior history of urogenital surgery. Methods: Patients diagnosed with POP-Q stage 3/4 uterine prolapse at a tertiary referral urogynecology unit in South Taiwan who had undergone POP repair with Prolift mesh from May 2007 to July 2010 were identified by chart review. Concomitant hysterectomy was performed in 24 patients (hysterectomy group), and uterus-sparing surgery in 78 (uterus-sparing group) Preoperative and postoperative subjective assessments of urinary and prolapse symptoms, objective POP-Q score, urodynamic examination, and postoperative adverse events were compared between the groups. Results: The mean follow-up periods were 25.7 months (range 6.2 – 73.1 months) and 31.7 months (range 6.0 – 78.4 months) in the concomitant hysterectomy and uterus-sparing groups, respectively. There were no between-group differences in functional and anatomic outcomes after surgery. No statistically significant differences were found in postoperative adverse events between the groups. Conclusions: Pelvic reconstruction using Prolift with concomitant hysterectomy and uterus-sparing surgery have similar anatomic and functional results at 2.5 years. Therefore, we consider uterus-sparing surgery to be an alternative to hysterectomy in uterine prolapse repair.

Original languageEnglish
Pages (from-to)1013-1020
Number of pages8
JournalInternational Urogynecology Journal
Volume26
Issue number7
DOIs
StatePublished - 01 07 2015

Bibliographical note

Publisher Copyright:
© 2015, The International Urogynecological Association.

Keywords

  • Mesh exposure
  • Midterm
  • Prolift
  • TVM
  • Uterine prolapse
  • Uterus sparing

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