Mesh vaginal colpopexy complications analysis—multicenter study results

Попов, А. А.; Abramyan, K.; Klyushnikov, Ivan; Kasyan, George

doi:10.21037/gpm-21-19

Cited by 1 publication

(1 citation statement)

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“…A French study by Ferry et al included 218 patients who had concurrent pelvic floor repair with Restorelle Direct Fix anterior mesh that reported comparable complication rates of bladder perforations and rectal perforations (0.5% respectively) [ 15 ]. A Russian study in 2022 reported rectal injury of 1%, also occurring during the dissection of the vaginal wall such as in this study [ 21 ]. Overall, the immediate complication rate from surgery with transvaginal mesh is low.…”

Section: Discussionsupporting

confidence: 58%

Long-Term Outcomes of Restorelle® Direct Fix Anterior Mesh in the Treatment of Pelvic Organ Prolapse

Goh,

Lim,

Chua

et al. 2024

Cureus

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Objective The objective of this study was to evaluate the efficacy and long-term outcomes of the use of Restorelle® Direct Fix (Coloplast, Humlebæk, Denmark) anterior mesh for transvaginal surgical management of anterior compartment prolapse. Methods A retrospective case series review was conducted for 123 patients who underwent surgery for Baden-Walker Grade three and four anterior compartment prolapse with the Restorelle Direct Fix anterior mesh between July 1, 2017 and September 30, 2018 in a single center. Follow-up was conducted at one, six, 12, 24, and 36 months after treatment. A standardized questionnaire and pelvic examination were conducted at each visit to assess operative complications and subjective and objective cure rates. Results Sixty patients were included in the analysis with a three-year follow-up rate of 70.0%. At three years post-operatively, subjective and objective cure rates were 97.7% and 95.3% respectively. Seven (11.7%) patients complained of de novo stress urinary incontinence, four (6.7%) complained of de novo urge urinary incontinence and one (1.7%) complained of symptomatic recurrence. Significantly, six (10.0%) patients had transvaginal mesh exposure over the three-year follow-up, mostly presenting within the first year. One (2.4%) patient developed new asymptomatic mesh erosion at the 36-month visit and one patient required mesh loosening one month post-surgery. Conclusions Management of anterior compartment prolapse with transvaginal surgery using the Restorelle® Direct Fix anterior mesh was associated with good subjective and objective cure rates. However, significant rates of post-operative mesh exposure were noted within three years post-surgery, which hinders the recommendation of this device for augmentation of repair for anterior compartment prolapse.

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Section: Discussionsupporting

confidence: 58%