| 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. |