Related Experiment Video
Updated: Jun 28, 2025
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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
5.3K
To mesh or not mesh "apical prolapse," that is the question!
Frank C Lin1, Jason P Gilleran2, C R Powell3
1Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Neurourology and Urodynamics
|April 16, 2024
Summary
Surgical management of pelvic organ prolapse (POP) is evolving. While transvaginal native tissue repair is common, transabdominal approaches and alternatives to mesh, like autologous fascia, are gaining attention for apical prolapse treatment.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
- Female Pelvic Medicine
Background:
- Pelvic organ prolapse (POP) management includes conservative and surgical options.
- The optimal surgical approach for apical prolapse is debated, influenced by mesh concerns.
Purpose of the Study:
- To summarize expert perspectives on surgical management of apical prolapse.
- To discuss various surgical strategies considering patient factors and evidence.
Main Methods:
- A debate and discussion at the North Central Section of the American Urological Association meeting.
- Authors presented and supported their approaches for apical prolapse repair in diverse clinical scenarios.
Main Results:
- Transvaginal native tissue repair is a primary method for POP.
- Transabdominal approaches are evolving, with synthetic mesh standard for sacrocolpopexy, but autologous fascia is an alternative.
- Preliminary data suggest safety and efficacy of fascia-based repairs, requiring further research.
Conclusions:
- Multiple surgical strategies exist for POP repair.
- Patient-centered decision-making, following thorough counseling, is crucial for selecting the best surgical option.
