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Updated: Jun 17, 2026
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Twelve years' experience with fascia lata autograft to replace complicated anterior vaginal mesh
Jonia Alshiek1, Charbel Awad1, Eva Welch1
1Department of Obstetrics & Gynecology, Inova Women's Hospital, Virginia Commonwealth University, 3300 Gallows Road, Second floor South Tower, Falls Church, VA, 22042-3307, USA.
Objectives:
To report 12-year experience with replacing transvaginal mesh (TVM) with fascia lata autograft.
Methods:
This was a chart review of TVM removal and replacement with a fascia lata autograft placement by a single surgeon between 2005 and 2017. The Pelvic Organ Prolapse Quantification (POP-Q) system before and 1 year following the procedure, patient-reported recurrence of symptoms, changes in the POP-Q examination and complication rates are analyzed.
Results:
Twenty-four patients were included. Mean age was 57.2 (95% CI 53.2-61.2) years. Mean number of days to Foley catheter removal was 3.2 days (95% CI 1.6-4.9) and mean number of days to drain removal was 10.9 days (95% CI 9.9-12.0). Following the surgery, no leg seroma, infection or numbness was reported. UTI occurred in four (16.7%) of the participants postoperatively. At 3-month follow-up, mild urinary symptoms were reported in five participants (20.8%). At 1-year follow-up, one participant was symptomatic of pelvic organ prolapse. Paired t-test analysis revealed statistically significant retraction of Aa and Ba vaginal points (p < 0.001). C, GH and PB points were also statistically significantly retracted.
Conclusion:
Fascia lata autograft for anterior compartment reconstruction due to TVM complications is associated with high safety and efficacy rates.
