pelviperineology. 2021; 40(1): 43-49 | DOI: 10.34057/PPj.2021.40.01.007

Efficacy of the mini mesh for reducing prolapse recurrence: comparison of two implant positioning methods

AYELLET NEUMANN KOREN¹, MENAHEM NEUMAN², JACOB BORNSTEIN^2
1Bar Ilan University, Azrieli Faculty of Medicine, Safed, Israel, ²Bar Ilan University, Azrieli Faculty of Medicine, Safed, Israel; Department of Obstetrics and Gynaecology, Galilee Medical Center, Nahariya, Israel

Objective: :We aimed to compare the postoperative complications, cure rates, and patient satisfaction in mini mesh implantation with and without anterior arm fixation to the para vesical fascia for the re-enforcement of the anterior pelvic floor compartment.
Materials and Methods: :Thirty female patients diagnosed with symptomatic stage 3 pelvic organ prolapse (POP) of the anterior pelvic floor compartment were operated on by a single surgeon, using the SERATOM PA MR MN mini mesh graft (Serag-Wiessner, Naila, Germany). In thirty other women, serving as a control group, the anterior arms were positioned without fixation, while in the study group anterior arm fixation was added. Surgery complications, patients’ satisfaction 3 months after the surgery, POP grade and volume of prolapse, and subjective variables such as a feeling of bulge, pain, and dyspareunia were compared between the two groups.
Results: :Significant anatomical and functional improvements were documented in both groups with respect to the objective (p<0.05) and subjective (p<0.01) criteria, except for pain, dyspareunia, and fecal incontinence. All patients reported high satisfaction.
Conclusion: :Surgery with and without fixation led to significant improvement.

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Cite This Article

KOREN A, NEUMAN M, BORNSTEIN J. Efficacy of the mini mesh for reducing prolapse recurrence: comparison of two implant positioning methods. 2021; 40(1): 43-49

Corresponding Author: KOREN A.

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