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Long-term outcome of synthetic mesh use in Iranian women with genital prolapse

Parvin Bastani, Sakineh Hajebrahimi, Fatima Mallah, Parastoo Chaichi, Fatemeh Sadeghi Ghiasi
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Abstract

Purpose: To evaluate the long-term outcome of synthetic mesh use in the treatment of women with Pelvic organ prolapse (POP).

Materials and Methods: We evaluated the outcome of synthetic mesh implantation by vaginal surgery method in 153 women (mean age of 53.66±9.31 years) with POP grade >2 in the anterior compartment. Demographic findings, baseline symptoms as well as subjective and objective outcome were recorded during the follow-up period of 36.89±11.33 months.  

Results: POP relapse occurred in 3.3% indicative of 96.7% anatomical success rate. Patients’ common baseline findings were frequency (72.5%), stress and urge incontinence (59.5% and 47.7%). Subjective outcome were vaginal pain (13.7%), dyspareunia (9.2%) and tension feeling (8.5%), while objective outcomes were mesh exposure (3.9%), urge incontinence (11.1%) and vaginal infection (1.3%). Stress incontinence was completely treated following surgery. There was significant improvement in dyspareunia, vaginal pain, urge and stress incontinence (all p<0.001) and fecal incontinence (p=0.02). After surgery, 88.42% were satisfied of the surgery outcome.

Conclusion: POP surgery with synthetic mesh has acceptable results, considerable improvement in symptoms and high rate of satisfaction during follow-up; however, side effects are not uncommon but tolerable.   


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DOI: http://dx.doi.org/10.22037/uj.v0i0.4866

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