E-Posters-Recurrence of Pelvic Organ Prolapse after Anterior Compartment Repair with Mesh

Pdf Summary

This study aimed to determine the incidence of pelvic organ prolapse recurrence after anterior compartment repair with synthetic mesh and identify potential risk factors for this recurrence. A total of 175 women who underwent surgery for anterior vaginal compartment prolapse were included in the study, with a minimum follow-up period of 12 months. The incidence of local recurrence was found to be 8.9%, with only 2.1% of these women requiring a new surgical procedure. Higher preoperative apical prolapse POP-Q stage was found to be associated with local recurrence of anterior compartment prolapse.<br /><br />Additional findings from the study showed that the incidence of other compartment prolapse was 13%, with apical prolapse being the most common. Among the women with local recurrence, only 2.1% needed a new surgical procedure due to complaints of prolapse. After a multivariate analysis, it was determined that higher preoperative apical prolapse POP-Q stage had a positive association with local recurrence.<br /><br />The overall prevalence of pelvic organ prolapse (POP) ranges from 3% to 50%, with up to 20% of women requiring surgery to correct it during their lifetime. Native tissue repair has high rates of anatomical failure, with a need for re-treatment ranging from 10% to 20%. A systematic review in 2016 found a recurrent prolapse rate of 38% after native tissue repair and a 12.5% risk after transvaginal synthetic mesh repair.<br /><br />In conclusion, this study found that the incidence of pelvic organ prolapse recurrence after anterior compartment repair with synthetic mesh was 8.9%. Preoperative higher apical prolapse POP-Q stage was associated with this recurrence. These findings contribute to the understanding of risk factors for prolapse recurrence and may inform surgical decision-making in the future.

Meta Tag

Concept Pelvic Organ Prolapse

Concept Prolapse Recurrence

Concept Risk Factor

Concept Anterior Compartment

Concept Synthetic Mesh

Keywords

pelvic organ prolapse recurrence

anterior compartment repair

synthetic mesh

risk factors

incidence

surgical procedure

apical prolapse

POP-Q stage

compartment prolapse

native tissue repair

Pelvic Organ Prolapse

Prolapse Recurrence

Risk Factor

Anterior Compartment

Synthetic Mesh