Outcome of Treatment of Anterior Vaginal Wall Prolapse and Stress Urinary Incontinence with Transobturator Tension-Free Vaginal Mesh (Prolift) and Concomitant Tension-Free Vaginal Tape-Obturator

Abstract

Objective. It is to assess the feasibility, effectiveness, and safety of transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) system as a treatment of female anterior vaginal wall prolapse associated with stress urinary incontinence (SUI). Patients and Methods. Between December 2006 and July 2007, 20 patients with anterior genital prolapse and voiding dysfunction were treated with the transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O). Sixteen patients had stress urinary incontinence and 4 patients were considered at risk for development of de novo stress incontinence after the prolapse is repaired. All patients underwent a complete urodynamic assessment. All the patients underwent pelvic examination 4–6 weeks after the operation, and anatomical and functional outcomes were recorded. Results. Twenty cystocoeles were repaired: 6 grade II, 12 grade III, and 2 grade IV. There were no vessel or bladder injuries. Eighteen patients had optimal anatomic results and 2 patients had persistent asymptomatic stage I prolapse. Conclusion. These preliminary results suggest that Prolift system offers a safe and effective treatment for female anterior vaginal wall prolapse. However, a long-term followup is necessary in order to support the good result maintenance.

A modified anterior compartment reconstruction and Prolift-a for the treatment of anterior pelvic organ prolapse: a non-inferiority study

“…Furthermore, no bladder injury was observed in two groups, which was consistent with the previous report [23], indicating that the modified procedure was not inferior to Prolift-a in terms of safety. However, three other literatures reported 1.2, 3.5, and 4.3% incidence of bladder injuries during the anterior procedure, respectively [2,24,25].…”

Impact of concomitant anterior vaginal reconstructive surgery on transobturator suburethral tape procedures

“…As many as 80% of urinary incontinent women have coexisting pelvic organ prolapse (POP). Among them, anterior vaginal wall prolapse is common and treatment becomes indicated as symptomatic prolapse develops.…”

Initial Experience with Concomitant Prolift™ System and Tension-Free Vaginal Tape Procedures in Patients with Stress Urinary Incontinence and Cystocele

“…Abou-Elela et al [13] reported the results of Prolift TM and TVT-O in 20 patients. In that study, the patients were all cured with no complications.…”