Related Experiment Video
Updated: Apr 23, 2026
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
Mesh-related and intraoperative complications of pelvic organ prolapse repair
George Kasyan1, Karina Abramyan2, Alexander A Popov2
1Urology Department of Moscow State University of Medicine and Dentistry, Moscow, Russia.
Introduction:
To evaluate the rates of complications of pelvic organ prolapse repair and to determine their risk factors.
Material And Methods:
The study included 677 patients operated for pelvic organ prolapse with trocar guided Prolift mesh. Patients were followed up within 1 and 3 months. A phone interview was conducted and patients with complaints were invited and evaluated in office settings.
Results:
Mean age was 60 years. For the phone interview, 86.5% of patients were available. Overall complication rates were 22.5% (152/677). Fifteen patients (2.2%) developed bleeding over 500 cc; pelvic hematomas - 5.5%; perineal hematomas - 2.5%; urethral injuries - 0.3%; bladder injury in 1.6%; rectal damage in 0.7% and ureteral trauma in 0.2%. MESH RELATED COMPLICATIONS INCLUDED: erosions in 4.8%; vaginal synechiae - 0.3%; protrusion of mesh into the bladder - 0.15%; vesicovaginal fistula with mesh protrusion - 0.3%; mesh shrinkage - 1%; dyspareunia and pain in 2.4% cases. Pelvic abscess was found in 0.6% including one case of lethal necrotizing fasciitis. The risk factors of complications were assessed via logistic regression analysis.
Conclusions:
Younger age, less prominent prolapse, hematomas and concomitant hysterectomies are associated with higher risk of complications.
