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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Transvaginal mesh procedures for pelvic organ prolapse
1Montreal QC.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|March 1, 2011
Summary
Transvaginal mesh procedures offer high anatomical cure rates for pelvic floor repair in short-term studies. Patients need thorough counseling on benefits, risks like mesh exposure, and limited comparative data for these novel techniques.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Pelvic Floor Disorders
Background:
- Pelvic organ prolapse (POP) is a common condition affecting women's quality of life.
- Surgical repair aims to restore pelvic floor anatomy and function.
- Transvaginal mesh procedures represent a minimally invasive approach to POP repair.
Purpose of the Study:
- To review current minimally invasive transvaginal mesh procedures for pelvic floor repair.
- To provide an update on newly available surgical techniques.
- To inform clinical practice regarding the use of transvaginal mesh.
Main Methods:
- Literature search of PubMed and Medline for English articles (May 2010 cutoff).
- Inclusion of systematic reviews, RCTs/CCTs, and observational studies.
- Inclusion of grey literature from health technology assessment agencies and professional societies.
Main Results:
- Transvaginal mesh procedures show high short-term anatomical cure rates in uncontrolled series.
- Data comparing mesh to traditional repairs or graft augmentation is limited.
- Potential adverse sequelae include mesh exposure, pain, and dyspareunia.
Conclusions:
- Counseling should detail all benefits, harms, and costs, emphasizing mesh use.
- Patients require information on variable success rates pending stronger evidence.
- Specific training is essential for transvaginal mesh procedures.
- Thorough preoperative counseling on risks and limited comparative data is crucial.
- New trocarless kits should be considered investigative until supportive data emerges.
