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Related Experiment Video

Updated: May 28, 2025

Transvaginal Mesh Insertion in the Ovine Model
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Is Posterior Transvaginal Mesh Surgery Using PTFE Mesh ORIHIME Effective and Safe for Advanced Posterior Vaginal

Kazunobu Yagi1, Masami Takeyama1, Yukiko Doi1

  • 1Urogynecology Center, First Towakai Hospital, Takatsuki City, Osaka, Japan.

International Journal of Urology : Official Journal of the Japanese Urological Association
|February 13, 2025
PubMed
Summary

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Performance of the Transvaginal Mesh Surgery TVM-UPB Compared to the Laparoscopic Sacrocolpopexy Using a Polytetrafluoroethylene Mesh ORIHIME for Advanced Anterior Vaginal Prolapse.

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Posterior tension-free vaginal mesh (TVM-P) surgery using polytetrafluoroethylene (PTFE) mesh is effective for severe posterior vaginal prolapse, with a 4.2% recurrence rate in the operated compartment. Further research is needed on recurrence in other compartments.

Area of Science:

  • Urogynecology
  • Pelvic reconstructive surgery

Background:

  • Advanced posterior vaginal prolapse, including rectoceles and enteroceles, significantly impacts quality of life.
  • Surgical interventions aim to restore pelvic anatomy and function.

Purpose of the Study:

  • To evaluate the efficacy and safety of posterior tension-free vaginal mesh (TVM-P) surgery using polytetrafluoroethylene (PTFE) mesh for advanced posterior vaginal prolapse.
  • To identify risk factors associated with recurrence after TVM-P surgery.

Main Methods:

  • Retrospective cohort study of 71 patients undergoing TVM-P with PTFE mesh for POPQ stage III or IV posterior vaginal prolapse.
  • Minimum 1-year postoperative follow-up.
  • Primary outcome: recurrence in the operated compartment; Secondary outcomes: recurrence in other compartments, mesh complications, risk factor analysis.
Keywords:
POPTVMcomplicationspolytetrafluoroethylene meshposterior vaginal prolapse

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Main Results:

  • Operated compartment recurrence rate was 4.2%.
  • Overall recurrence rate was 18.3%, with most occurring within 3 years.
  • Preoperative Ba point score ≥ -1 was a risk factor for recurrence in other compartments (aOR: 2.58).

Conclusions:

  • TVM-P surgery with PTFE mesh demonstrates a low recurrence rate (4.2%) in the operated compartment for severe posterior vaginal prolapse.
  • The procedure appears to be an effective surgical option for advanced rectoceles or enteroceles.
  • Preoperative Ba point score is a potential predictor for recurrence in non-operated compartments.