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Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair

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Abstract

Introduction and hypothesis

This study is about evaluating safety and potential risk factors for complications following pelvic organ prolapse repair with the GYNECARE PROLIFT system.

Methods

This is a prospective observational study (Canadian Task Force II-1) performed in a tertiary referral center. A total of 114 women with pelvic organ prolapse, POP-Q stage ≥2, underwent a pelvic floor repair that included Prolift.

Results

During a mean follow-up time of 7 months there were six procedure failures (5.3%) and 14 mesh exposures (12.3%), more commonly on the anterior vaginal wall. Age was inversely related to the risk of having late mesh exposure (p = 0.02) with an odds ratio of 1.99 (95% confidence interval 1.10–3.59) for each decrease of 10 years in age. Late mesh exposure was significantly more common in sexually active patients (p = 0.016).

Conclusions

Prolift repair has a high anatomical success rate. Young age and sexual activity are risk factors for mesh exposure.

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Abbreviations

POP:

Pelvic organ prolapse

TVM:

Transvaginal mesh repair

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Acknowledgments

We wish to acknowledge the help of Dr. Georgina Luscombe who assisted with the statistical analysis.

Conflicts of interest

None.

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Authors and Affiliations

  1. Centre for Advanced Reproductive Endosurgery, Sydney, Australia

    Yuval Kaufman, Sony Sukhbir Singh, Haifa Alturki & Alan Lam

  2. Department of Obstetrics and Gynecology, Carmel Medical Center, 7 Michal Street, Haifa, 34362, Israel

    Yuval Kaufman

Authors
  1. Yuval Kaufman
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  2. Sony Sukhbir Singh
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  3. Haifa Alturki
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  4. Alan Lam
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Correspondence to Yuval Kaufman.

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Kaufman, Y., Singh, S.S., Alturki, H. et al. Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair. Int Urogynecol J 22, 307–313 (2011). https://doi.org/10.1007/s00192-010-1270-6

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  • DOI: https://doi.org/10.1007/s00192-010-1270-6

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