DUBAI, UAE (UroToday.com) - Dr. Ayman Qatawneh began his lecture by discussing current research on surgical repair of uterovaginal prolapse using an abdominal or vaginal approach. He reviewed some of the data on the different materials used including native tissue and mesh. He then presented his current research on the comparison of sacrospinous fixation surgery with or without mesh to the anterior compartment. Aims of the study were to look at short- and long-term pelvic floor symptoms in patients undergoing prolapse surgery with and without mesh. He presented the database used for collecting symptoms and components of the vaginal examination. The study included women with symptomatic stages 3 and 4 uterovaginal prolapse requiring surgery. Women were excluded if they had prior pelvic floor surgery with mesh and/or stress urinary incontinence. Methodology included preoperative standardized pelvic floor questionnaires and prolapse examination using the POPQ scale. The study enrolled 76 patients and outcomes were presented as follows:
| Mesh (n=36) | No mesh (n=40) | |
| Subjective | 81% | 72% |
| Patient Satisfaction | 84% | 81% |
| Objective | 73% | 66% |
| Follow-Up (months) | 16 months | 18 months |
Occult stress UI occurred in 14% of women receiving mesh and 15% receiving no mesh. There was no significant change in pre- or post-operative sexual activity. Other urinary symptoms were similar in the two groups. He concluded that tension-free vaginal mesh secured to the anterior compartment at the time of sacrospinous suspension will reduce the recurrence rate of apical and anterior prolapse.
Presented by Ayman Qatawneh, MD at the 7th Pan Arab Continence Society (PACS) Annual Meeting - February 3 - 5, 2011 - Dubai, United Arab Emirates
Reported for UroToday by Diane K. Newman, RNC, MSN, CRNP, FAAN and Continence Nurse Practitioner Specialist - University of Pennsylvania Medical Center.
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