Twelve years' experience with fascia lata autograft to replace complicated anterior vaginal mesh.

Abstract:

OBJECTIVES:To report 12-year experience with replacing transvaginal mesh (TVM) with fascia lata autograft. METHODS:This was a chart review of TVM removal and replacement with a fascia lata autograft placement by a single surgeon between 2005 and 2017. The Pelvic Organ Prolapse Quantification (POP-Q) system before and 1 year following the procedure, patient-reported recurrence of symptoms, changes in the POP-Q examination and complication rates are analyzed. RESULTS:Twenty-four patients were included. Mean age was 57.2 (95% CI 53.2-61.2) years. Mean number of days to Foley catheter removal was 3.2 days (95% CI 1.6-4.9) and mean number of days to drain removal was 10.9 days (95% CI 9.9-12.0). Following the surgery, no leg seroma, infection or numbness was reported. UTI occurred in four (16.7%) of the participants postoperatively. At 3-month follow-up, mild urinary symptoms were reported in five participants (20.8%). At 1-year follow-up, one participant was symptomatic of pelvic organ prolapse. Paired t-test analysis revealed statistically significant retraction of Aa and Ba vaginal points (p < 0.001). C, GH and PB points were also statistically significantly retracted. CONCLUSION:Fascia lata autograft for anterior compartment reconstruction due to TVM complications is associated with high safety and efficacy rates.

journal_name

Int Urogynecol J

authors

Alshiek J,Awad C,Welch E,Jalalizadeh M,Shobeiri SA

doi

10.1007/s00192-019-03957-2

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

1587-1592

issue

9

eissn

0937-3462

issn

1433-3023

pii

10.1007/s00192-019-03957-2

journal_volume

30

pub_type

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