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Updated: Dec 5, 2025
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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
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Changes in voiding function after transvaginal mesh repair for advanced anterior vaginal prolapse
Yidi Ma1, Jia Kang1, Ye Zhang1
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|October 18, 2020
Summary
Transvaginal mesh (TVM) repair for advanced anterior vaginal prolapse (AVP) significantly improves voiding function for up to one year. Low average flow rate (Qave) predicts postoperative voiding dysfunction (PVD).
Area of Science:
- Urology
- Gynecology
- Pelvic Floor Disorders
Background:
- Advanced anterior vaginal prolapse (AVP) often coexists with voiding dysfunction.
- Transvaginal mesh (TVM) repair is a common treatment for AVP.
Purpose of the Study:
- To evaluate changes in voiding function after TVM repair for AVP at 3 months and 1 year.
- To identify predictors of postoperative voiding dysfunction (PVD).
Main Methods:
- Retrospective cohort study of women with stage ≥3 AVP undergoing TVM repair.
- Voiding function assessed via uroflowmetry, postvoid residual (PVR) volume, UDI-6, and UIQ-7.
- Multivariate logistic regression used to identify risk factors for PVD.
Main Results:
- 43% of patients had preoperative voiding dysfunction.
- Significant improvement in PVR and voiding difficulties observed postoperatively (p<0.001).
- Low average flow rate (Qave) was an independent predictor of PVD (OR, 0.40; 95% CI, 0.16-0.98).
Conclusions:
- TVM repair improves voiding function in women with advanced AVP for up to one year.
- Preoperative voiding dysfunction is common in this patient population.
- Identifying predictors like low Qave can help manage PVD risk.
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