ArticleInternational urogynecology journal2017
Mesh complications and failure rates after transvaginal mesh repair compared with abdominal or laparoscopic sacrocolpopexy and to native tissue repair in treating apical prolapse.
Article in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 40 citations in OpenAlex.
- Long-term results of apical prolapse correction by unilateral pectineal suspension: A clinical trial.Archives of gynecology and obstetrics · 2026Trial
- Trial
- Prolapse recurrence, methods of reoperation, and long-term mesh complications-A nationwide follow-up study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- The Presence of Preoperative Urinary Incontinence Significantly Correlates With Postoperative Urinary Incontinence Following Laparoscopic Sacrocolpopexy.International neurourology journal · 2025Article
- Complications of Pelvic Prolapse Surgery Using Mesh: A Systematic Review.Journal of personalized medicine · 2024Review
- Postoperative complications and unanticipated healthcare encounters following mini-laparotomy vs. laparoscopic/robotic-assisted sacrocolpopexy: a comparative retrospective study.BMC women's health · 2024Article
- Comparison of transvaginal mesh surgery and robot-assisted sacrocolpopexy for pelvic organ prolapse.BMC surgery · 2022Article
- Short term complications in mesh augmented vaginal repair of pelvic organ prolapse are not higher when compared with native tissue repair.International urogynecology journal · 2022Article
- New "Wrinkle Method" for Intracorporeal Anterior Vaginal Wall Plication during Sacrocolpopexy.Journal of clinical medicine · 2021Article
- Pelvic Pain and Apical Prolapse Surgery: A Population-Based Retrospective Cohort Study.Female pelvic medicine & reconstructive surgery · 2020Article
- Laparoscopic management of pelvic organ prolapse recurrence after open sacrocervicopexy.International urogynecology journal · 2020Article
- Long-term mesh erosion rate following abdominal robotic reconstructive pelvic floor surgery: a prospective study and overview of the literature.International urogynecology journal · 2020Review
- Laparoscopic Long Mesh Surgery with Augmented Round Ligaments: A Novel Uterine Preservation Procedure For Apical Pelvic Organ Prolapse.Scientific reports · 2020Article
- Robotic-assisted repair of pelvic organ prolapse: a scoping review of the literature.Translational andrology and urology · 2020Article
- The use of synthetic mesh for vaginal prolapse in the UK: a review of cases submitted to the British Society of Urogynaecology database.International urogynecology journal · 2018Review
- Current Treatments for Female Pelvic Floor Dysfunctions.Gynecology and minimally invasive therapyReview
- Long-term safety and efficacy of non-absorbable abdominal mesh for apical prolapse surgery: A 10-year experience at Tertiary Care Hospital.Pakistan journal of medical sciencesArticle
- Current trends and future perspectives in pelvic reconstructive surgery.Women's health (London, England)Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveOur objective was to quantitate the extent of complications and failure rate for apical prolapse repair with transvaginal mesh (TVM) use versus sacrocolpopexy over a minimum of 2 years of follow-up.
methodsTruven CCAE and Medicare Supplemental databases 2008-2013 were used for analysis. Patients with apical prolapse repair via transvaginal mesh (TVMR), abdominal sacrocolpopexy (ASCP), laparoscopic sacrocolpopexy (LSCP), or native tissue repair (NTR) and continuously enrolled for years were in the study cohort. Surgical failures were identified by reoperation for any prolapse or subsequent use of pessary. SAS® 9.3 was used for analysis.
resultsMesh removal/revision was reported highest in TVMR (5.1 %), followed by LSCP (1.7 %) and ASCP (1.2 %). In those with concomitant sling, combined rates for mesh/sling revision were high, at 9.0 % in TVMR + sling, 5.6 % in ASCP + sling, and 4.5 % LSCP + sling. Sling-alone cases reported a 3.5 % revision rate. Pelvic pain (16.4-22.7 %) and dyspareunia (5.6-7.5 %) were high in all three approaches for apical prolapse repairs. Reoperation for apical prolapse was more common for TVMR (2.9 %) compared with NTR (2.3 %) [odds ratio (OR) 1.27; confidence interval (CI) 1.1-1.47; p 0.002]. Both ASCP and LSCP were superior to NTR (ASCP 1.5 %, OR 0.63, CI 0.46-0.86; p 0.003) and LSCP 1.8 % (OR 0.79, CI 0.62-1.01; p 0.07). Overall prolapse recurrence, as indicated by any compartment surgery for prolapse and/or pessary use, was also noted highest in TVMR (5.9 % OR 1.23, CI 1.11-1.36; p <0.0001). Laparoscopic sacrocolpopexies were slightly superior at 4.0 % overall recurrence (OR 0.83, CI 0.7-0.98); p 0.03). Failure of incontinence surgery was higher when the initial procedure combined prolapse and sling surgery (1.97 %) versus sling alone (1.6 %).
conclusionsReoperation for apical prolapse is more common with TVMR than with sacrocolpopexies and NTR. Incontinence procedures are more likely to fail when performed along with prolapse repair than when performed alone. When mesh is used for repair, mesh revision is highest with TVMR and lowest with ASCP.
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