Outcomes for Hong Kong Women Following Vaginal Mesh Repair Surgery for Pelvic Organ Prolapse

Abstract

Objective: To assess outcomes for pelvic organ prolapse and operative complications in women having vaginal mesh repair at a tertiary referral centre in Hong Kong.
Methods: A retrospective study design was used to collect both preoperative and postoperative data including the Pelvic Organ Prolapse–Quantification (POP-Q) score and complication rates. The primary outcome was improvement in POP-Q score. Secondary outcomes included perioperative and postoperative complications.
Results: A total of 65 women had vaginal mesh repair completed during the period of interest (1 January 2005 to 31 December 2012). In all, 34 women had total vaginal mesh repair while 24 and seven patients had anterior vaginal mesh repair and posterior vaginal mesh repair, respectively. One patient had anterior vaginal mesh repair and cervical amputation. There was significant elevation of the prolapsed part in both the anterior and posterior mesh repair groups. The 26 women in the total vaginal mesh repair group had significant elevation of the anterior and posterior vaginal wall and cervix. There was good preservation of vaginal length and no significant lengthening of the perineal body. Four (7.4%) patients were found to have mesh erosion. Three of the patients were asymptomatic and managed conservatively. One patient required partial excision of the mesh. There was one case of buttock abscess. No reported bowel or bladder injury was reported.
Conclusions: The study showed significant improvements on the POP-Q score in the corresponding compartment of the vaginal mesh repairs postoperatively.