Retrospective comparison between the Prolift and Elevate anterior vaginal mesh procedures: 18-month clinical outcome

Abstract

In conclusion, our results suggest that the use of the Elevate system in patients with anterior compartment prolapse results in fewer mesh erosions, but similar efficacy, compared with the Prolift mesh.

A retrospective analysis of the effectiveness of anterior pelvic organ prolapse repair with Prolift versus Elevate vaginal mesh

“…Vaginal mesh exposure was previously identified among 21 (8.0%) of 264 women implanted with the Prolift system and 6 (8.5%) of 71 women implanted with the Elevate system . Obese patients are more technically challenging in terms of vaginal mesh placement than those without obesity, and high BMI has been associated with increased blood loss and mesh exposure . In the present study, both groups of patients had a mean BMI within the normal range—a finding that might have contributed to reduced risk of mesh exposure.…”

“…The rates of new‐onset SUI in the present study were lower than those previously reported. Rogowski et al . found a rate of 11.5% in the Prolift group and 14.5% in the Elevate group.…”

“…The Weber criteria used to define cure, improvement, and recurrence in the present study are strict, which might explain the reported cure and improvement rates. Previous studies used descent beyond the hymen as the point of reference . However, according to the Weber criteria, this approach would also include cases defined as recurrence.…”

Factors that affect outcomes of prolapse repair using single‐incision vaginal mesh procedures

“…Associated risk factors may include patient comorbidities, concomitant hysterectomy, and a junior surgeon, etc . Recent studies of Elevate reported consistently low (0‐6.3%) rates of vaginal mesh exposure but the influencing factors have not been explored yet . In this study, patient comorbidities, concomitant hysterectomies (more cases in the Elevate group) did not seem to affect the low exposure rate in the Elevate group, and that could be the result of using the new lightweight meshes and also a better surgeons’ experience when performing Elevate at a later period.…”

A retrospective comparison of two vaginal mesh kits in the management of anterior and apical vaginal prolapse: long-term results for apical fixation and quality of life

“…Most studies comparing transobturator meshes and Elevate Ant have shown equivalent success rates in the anterior compartment, but did not assess apical results. In a retrospective comparative study, Rogowski et al found a similar rate of 90 % good objective results (stage ≤1) in the anterior compartment in their Prolift and Elevate Ant groups at 18 months [22]. Feiner et al, in a study comparing the Prolift mesh and the Perigee mesh with a follow-up of just 11 months, found equivalent subjective and objective results [8].…”