INTRODUCTION AND HYPOTHESIS: The aim of this study is to estimate efficacy and safety of mesh in surgery for uterine or vault prolapse. METHODS: Seventeen electronic databases were searched for relevant studies that were published from 1980 onwards. RESULTS: Fifty-four studies involving 7,054 women were included. For sacrocolpopexy (average follow-up 23 months), the risk of clinical recurrence ranged from 0% to 6%, persistent symptoms ranged from 3% to 31% and mesh erosion from 0% to 12%. For infracoccygeal sacropexy (average follow-up 13 months), the risk of clinical recurrence ranged from 0% to 25%, persistent symptoms from 2% to 21% and mesh erosion 0% to 21%. Limited evidence was available for sacrocolpoperineopexy and uterine suspension sling to draw reliable estimates. CONCLUSIONS: Sacrocolpopexy was associated with a low risk of recurrence but with a relatively high risk of mesh erosion. Ranges of estimates for outcomes for other mesh techniques were wide.
INTRODUCTION AND HYPOTHESIS: The aim of this study is to estimate efficacy and safety of mesh in surgery for uterine or vault prolapse. METHODS: Seventeen electronic databases were searched for relevant studies that were published from 1980 onwards. RESULTS: Fifty-four studies involving 7,054 women were included. For sacrocolpopexy (average follow-up 23 months), the risk of clinical recurrence ranged from 0% to 6%, persistent symptoms ranged from 3% to 31% and mesh erosion from 0% to 12%. For infracoccygeal sacropexy (average follow-up 13 months), the risk of clinical recurrence ranged from 0% to 25%, persistent symptoms from 2% to 21% and mesh erosion 0% to 21%. Limited evidence was available for sacrocolpoperineopexy and uterine suspension sling to draw reliable estimates. CONCLUSIONS: Sacrocolpopexy was associated with a low risk of recurrence but with a relatively high risk of mesh erosion. Ranges of estimates for outcomes for other mesh techniques were wide.
Authors: Ahmet Akin Sivaslioglu; Orhan Gelisen; Ismail Dolen; Hulya Dede; Serdar Dilbaz; Ali Haberal Journal: Aust N Z J Obstet Gynaecol Date: 2005-04 Impact factor: 2.100
Authors: Carolien K M Vermeulen; Anne Lotte W M Coolen; Wilbert A Spaans; Jan Paul W R Roovers; Marlies Y Bongers Journal: Int Urogynecol J Date: 2018-12-04 Impact factor: 2.894