Related Experiment Video
Updated: Apr 28, 2026
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
[Transvaginal repair of genital prolapse using a light-weight mesh by the vaginal route]
N Korahanis1, A Goron1, C Farache1
1Service gynécologie, clinique mutualiste Beausoleil, 119, avenue de Lodève, 34070 Montpellier, France.
Objective:
To evaluate the results associated with the transvaginal repair of genital prolapse using a tension free light-weight polypropylene mesh.
Patients And Methods:
One hundred and fifteen patients have been treated in a single centre. Pre-operative and operative data and complications were recorded. Patients were examined at 1, 6 and 12 months. Anatomical failure was defined as follows: Pelvic Organ Prolapse Quantification (POP-Q) stage II or more.
Results:
Seventy-seven (67%) patients completed 6 months follow-up and 45 (39%) patients completed 12 months follow-up. Finally, 70 (61%) patients were lost to follow-up, including 2 deaths (not related to surgery). Mean age was 66 years. All patients were treated with an anterior and apical and 20 patients were additionally treated with a posterior mesh. Among the 77 patients who completed 6 months follow-up, the complications reported were: 2 (2%) bladder injuries, 1 (1%) hematoma, 1 (1%) bleeding>200 mL and 1 (1%) vaginal mesh exposure. At one year, 6 (7%) patients suffered from urinary stress incontinence, 5 (4%) suffered from urgency and 4 (5%) had dyspareunia. Among the 45 patients who completed 12 months follow-up, functional success was 95% and anatomical success was 77%.
Conclusion:
In this series, the placement of a light-weight transvaginal polypropylene mesh was associated with good functional results and a moderate prevalence of complications.
Level Of Evidence:
4.
