Outcome of transvaginal pelvic reconstructive surgery with Prolift after a median of 2 years’ follow-up

Abstract

Prolift™ surgery yielded a good anatomical outcome and satisfactory symptom improvement that appeared to be durable after 2 years.

Pelvic organ prolapse transvaginal repair by the Prolift system: Evaluation of efficacy and complications after a 4.5 years follow up

“…Indeed , we present a mean follow up over 4 years when other studies have a maximum follow up of approximately 2 years, 13,14,[16][17][18][19][20][21] except a recent report dealing with re-operation rate (Table 5). 14 Our initiative is further legitimized by previous expert opinions underlining that 2 years should be considered as the minimal postoperative follow up for evaluating the outcome of pelvic floor reconstructive surgery.…”

“…Our 5.3% rate of mesh exposure is one of the less important of those recently reported (Table 5). 13,14,[16][17][18][19][20][21]23 In a meta-analysis, Feiner described an exposure rate ranging from 4.6% to 10.7% for transvaginal mesh kits. 28 The previously assessed link between learning Long-term results with Prolift curve and incidence of mesh exposure 29 could explain the low incidence of erosion in the present study, where all interventions were carried out or supervised by two very experienced surgeons (FH and VD).…”

“…17 Incidence of postoperative urinary symptoms was also comparable with previous reports, but was not the main focus of the present study. 13,17 It is of note, however, that 33 patients had a concomitant mid-urethral sling implantation at the time of prolapse repair. This is a reflection of our current surgical practice, as we usually combine sling implantation with prolapse repair when the patient has stress urinary incontinence at diagnosis, confirmed by urodynamics after manual reduction of the prolapse in anatomical position.…”

“…POP recurrence occurred in the operated compartment in five cases (two recurrences of rectocele after six-arm Prolift and three anterior recurrences after four-arm Prolif) and six failures were as a result of apparition of a stage 2 rectocele after isolated four-arm Prolift anterior repair. Median PDFI-20 at last follow up was 8 (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18], consistent with few symptoms in patients treated. No recurrence led to further surgical intervention.…”

“…8 The Prolift system is a commercially available macroporous polypropylene mesh used for POP repair that has been described in several previous reports. 7,[9][10][11][12][13][14] However, these data have limited follow up. The aim of the present study was to evaluate the anatomical and functional outcomes of transvaginal repair of POP using the Prolift system after a minimal follow up of 3 years.…”