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Updated: Jun 7, 2026
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Trocar-guided mesh repair of vaginal prolapse using partially absorbable mesh: 1 year outcomes
Alfredo L Milani1, Piet Hinoul, Judi M Gauld
1Department of Obstetrics and Gynaecology, Delft, the Netherlands.
Objective:
To evaluate anatomic and functional outcomes at 1-year following trocar-guided transvaginal prolapse repair using a partially absorbable mesh.
Study Design:
Prospective multicentre cohort study at 11 international sites. One hundred twenty-seven patients with pelvic organ prolapse stage ≥ III had surgery and were evaluated at 3 months and 1-year postsurgery compared with baseline. Instruments of measurements: Pelvic Organ Prolapse Quantification, Pelvic Floor Distress Inventory-20, Pelvic Floor Impact Questionnaire-7, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12, and Patients Global Impression of Change.
Results:
Anatomic success, defined as prolapse stage ≤ I in the treated vaginal compartments, was 77.4% (95% confidence interval, 69.0-84.4%). Significant improvements in bother, quality of life, and sexual function were detected at 3 months and 1 year compared with baseline. At 1-year after surgery, 86.2% of patients indicated their prolapse situation to be "much better." Mesh exposure rate was 10.2% and rate of de novo dyspareunia 2% at 1 year.
Conclusion:
These results demonstrate improved anatomic support, associated with excellent functional improvements, without apparent safety concerns.
