Long-term results of surgical treatment of pelvic organ prolapse using prosthetic mesh


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Abstract

Objective: To analyze postoperative complications in patients after surgical treatment of apical pelvic organ prolapse using prosthetic mesh. Materials and methods: In this study we analyzed complications after surgical implantation of polypropylene (PP) meshes in women with genital prolapse within 18-36 months after surgery. Retrospectively, 732 women were divided into 2 groups depending on the techniques used for surgical treatment of pelvic organ prolapse. Group 1 consisted of patients who underwent laparoscopic sacrocolpopexy using polypropylene mesh prosthesis (n=348). Group 2 consisted of patients who underwent transvaginal bilateral sacrospinous fixation with implantation of a polypropylene mesh prosthesis (n=394). Statistical processing of the obtained results was performed using software packages STATISTICA 10.0andEviews 12.0. Results: Recurrence of genital prolapse occurred in 28 women (8.0%) in group 1, while this complication was diagnosed in 62 women (15.7%) in group 2, p<0.001. The rate of vaginal wall erosion after prosthetic mesh implantation was 2.0% and 6.3% in group 1 and 2, respectively. The rate was significantly high among women who underwent sacrospinous fixation (group 2), p<0.001. In premenopause, surgical treatment of women with genital prolapse using bilateral sacrospinous fixation increases the risk of vaginal wall erosion (AUC 0.736, p=0.004, 95% CI: 0.535-0.896). Conclusion: Analysis of postoperative complications showed that laparoscopic sacrocolpopexy is more effective versus bilateral sacrospinous fixation.

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About the authors

Polina A. Berg

Bashkir State Medical University

Email: p.a.berg@mail.ru
assistant, Department of obstetrics and gynecology with IPE course

Ilnur I. Musin

Bashkir State Medical University

Email: ilnur-musin@yandex.ru
PhD, Associate Professor, Department of obstetrics and gynecology with IPE course

Alfiya G. Yaschuk

Bashkir State Medical University

Email: alfiya_galimovna@mail.ru
Dr. Med. Sci., Professor, Head of the Department of obstetrics and gynecology with IPE course

Raisa A. Naftulovich

Bashkir State Medical University

PhD, Associate Professor, Department of obstetrics and gynecology with IPE course

Guzel Yu. Battalova

Bashkir State Medical University

Dr. Med. Sci., Professor at the Department of Obstetrics and Gynecology No. l

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