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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...

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Updated: May 27, 2026

Transvaginal Mesh Insertion in the Ovine Model
10:32

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Do we need meshes in pelvic floor reconstruction?

Kaven Baessler1

  • 1Pelvic Floor Unit, Charité Universitätsmedizin Berlin, Hindenburgdamm 30, Berlin, Germany. Kaven.baessler@charite.de

World Journal of Urology
|November 16, 2011
PubMed
Summary

Transvaginal mesh surgery for pelvic organ prolapse can lead to significant functional issues, including prolapse recurrence and de novo incontinence. Patient counseling must include these functional outcomes, not just anatomical results.

Area of Science:

  • Urogynecology
  • Pelvic Reconstructive Surgery
  • Surgical Outcomes

Background:

  • Transvaginal mesh placement for pelvic organ prolapse (POP) offers good anatomical results but is associated with mesh-related complications.
  • Recent reviews and warnings highlight the need for cautious consideration of synthetic mesh use.
  • Focus on functional outcomes is crucial for comprehensive patient care.

Purpose of the Study:

  • To review and analyze the functional outcomes of synthetic transvaginal mesh placement in women undergoing pelvic reconstructive surgery for POP.
  • To provide evidence-based information on the functional consequences of this surgical approach.

Main Methods:

  • Systematic literature search of the MEDLINE database (2010-August 2011) for original articles on transvaginal mesh surgery for POP.

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  • Inclusion criteria: studies with follow-up >12 months, original data, and subjective outcome data.
  • Exclusion criteria: studies not meeting follow-up or data requirements, or not focusing on original data.

    • Main Results:

    • Symptomatic POP recurrence reported in 7-33% of patients after trocar-guided transobturator vaginal mesh surgery.
    • Cumulative analysis showed 21% (76/370) of patients experienced postoperative prolapse symptoms.
    • De novo stress urinary incontinence occurred in 12-17%, persisting in up to 68%.
    • De novo dyspareunia reported in 2-15%, with worsening or new onset in 25-44%.

    Conclusions:

    • Functional outcomes after transvaginal mesh placement are often worse than anatomical outcomes.
    • Counseling women requires comprehensive, evidence-based information on potential functional deficits.
    • Patient concerns and preferences must be prioritized in surgical decision-making for POP repair.