Laparoscopic-assisted tension-free vaginal mesh: An innovative approach to placing synthetic mesh transvaginally for surgical correction of Pelvic organ prolapse

Toyohiko Watanabe, Miyabi Inoue, Ayano Ishii, Toyoko Yamato, Masumi Yamamoto, Katsumi Sasaki, Yasuyuki Kobayashi, Motoo Araki, Shinya Uehara, Takashi Saika, Hiromi Kumon

Research output: Contribution to journalArticle

Abstract

Polypropylene mesh implants for the correction of pelvic organ prolapse (POP) are now available in Japan. We developed an innovative approach for correcting POP by placing polypropylene mesh transvaginally with laparoscopic assistance. From June 2007 through March 2010, sixteen consecutive patients with symptomatic stage 2 or 3 pelvic organ prolapse underwent the laparoscopic-assisted tension-free vaginal mesh procedure at Okayama University Hospital. All patients were evaluated before and at 1, 3, 6, and 12 months after surgery. Female sexual function was also evaluated with the Female Sexual Function Index (FSFI). The procedure was performed successfully without significant complications. Fifteen of 16 patients were considered anatomically cured (93.8%) at 12 months postoperatively. One patient with a recurrent stage 3 vaginal vault prolapse required sacral colpopexy six months postoperatively. Total FSFI scores improved significantly from 10.3 ± 1.3 at baseline to 18.0±1.2 at 12 months after surgery. The laparoscopic-assisted trans-vaginal mesh is a safe, effective, and simple procedure for POP repairs. The procedure not only restores anatomic relationships but also improves sexual function.

Original languageEnglish
Pages (from-to)23-30
Number of pages8
JournalActa medica Okayama
Volume66
Issue number1
Publication statusPublished - Feb 23 2012

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Keywords

  • Female urology
  • Laparoscopic
  • Pelvic organ prolapse
  • Sexual function
  • Tension-free vaginal mesh

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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