Fulltext

Mesh implantation for pelvic organ prolapse improves quality of life

Yesil, Atilla ; Watermann, Dirk ; Farthmann, Juliane

In: Archives of Gynecology and Obstetrics, 2014, vol. 289, no. 4, p. 817-821

Ajouter à la liste personnelle
    Titre
    • Mesh implantation for pelvic organ prolapse improves quality of life
    Auteur
    • Yesil, Atilla. Department of Obstetrics and Gynecology, Cantonal Hospital of Baselland, Liestal, Switzerland
    • Watermann, Dirk. Department of Obstetrics and Gynecology, Diakonie Hospital, Freiburg, Germany
    • Farthmann, Juliane. Department of Obstetrics and Gynecology, University Medical Center, Freiburg, Germany
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Archives of Gynecology and Obstetrics, 2014, vol. 289, no. 4, p. 817-821. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:325417
    Summary
    Purpose: The use of alloplastic meshes for repair of female pelvic organ prolapse (POP) has recently been discussed for its indications and safety. Mesh exposure and chronic pelvic pain are among the risks that need to be addressed to the patients. The purpose of this prospective observational study is to investigate the effect of vaginal mesh implantation on pelvic floor-related quality of life (QoL). Methods: 55 patients were included in this prospective multicenter study. A validated QoL questionnaire comprising items on prolapse symptoms and bladder, bowel and sexual function was used. QoL data were acquired before and 1year after POP surgery. Patients underwent POP surgery with implantation of either Prolift® or Seratom® mesh. Results: Quality of life scores improved significantly after surgery. Prolapse complaints were reduced from 4.43 to 0.26 (p<0.001), and bladder and bowel complaints improved from 3.03 to 1.46 (p<0.001) and from 1.93 to 1.60 (p<0.01) at follow-up. Furthermore, the sexual function score improved from 2.31 to 1.12 postoperatively (p<0.01). Conclusion: Despite the risks discussed for vaginal mesh repair, we observed a statistically significant improvement of pelvic floor-related quality of life of POP patients.