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Updated: Jun 17, 2026
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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Improved Pelvic Support and Urinary Symptoms Following Apical Mesh Reinforcement with a Partially Absorbable
Alla Saban1, Jonatan Neuman2, Reka Fabian-Kovacs2
1Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
The Israel Medical Association Journal : IMAJ
|June 16, 2026
Summary
This study shows that transvaginal repair using Seratom mini mesh effectively treats advanced pelvic organ prolapse (POP), improving symptoms and patient satisfaction with a low recurrence rate.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Biomaterials in Medicine
Background:
- Pelvic organ prolapse (POP) affects a significant portion of the female population, with symptomatic cases requiring effective treatment.
- Transvaginal repair is a common surgical approach for POP management.
- The development of advanced mesh materials aims to improve surgical outcomes and patient quality of life.
Purpose of the Study:
- To evaluate the clinical efficacy and safety of the Seratom PA MR MN® partially absorbable mini mesh for transvaginal apical POP repair.
- To assess anatomical and subjective outcomes, including urinary symptoms and patient satisfaction.
- To identify and report any adverse events associated with the use of this specific mesh.
Main Methods:
- Retrospective analysis of 114 patients undergoing transvaginal POP repair with Seratom mini mesh (August 2013 - January 2016).
- Assessment of anatomical outcomes using the Pelvic Organ Prolapse Quantification (POP-Q) system.
- Evaluation of subjective outcomes, including urinary stress incontinence, overactive bladder, and postoperative pain via Visual Analog Scale.
Main Results:
- Significant anatomical improvements (POP-Q) and reductions in urinary stress incontinence and overactive bladder symptoms were observed (P<0.001).
- No mesh erosions were reported; immediate complications included bleeding, fever, and urinary obstruction.
- High patient satisfaction rates (over 91%) were maintained at long-term follow-up, with a 12.3% recurrence rate.
Conclusions:
- Transvaginal repair with Seratom PA MR MN® partially absorbable mini mesh offers significant anatomical and subjective benefits for advanced POP.
- The procedure demonstrated a favorable safety profile with few complications and a manageable recurrence rate.
- Further research is warranted to confirm these findings and refine patient selection criteria for optimal outcomes.
