ABSTRACT

Background:

Surgical approach for the treatment of genital prolapse remains subject of controversy. The aim of pelvic surgery is to relieve symptoms, to correct the prolapse and to improve the quality of life.

Objective:

To compare success rates, intraoperative and postoperative complications, safety, functional outcome and satisfaction rate in a UK and an Italy group in a retrospective case series using CR Mesh® kit19 for the management of vaginal prolapse over the first year.

Materials and Method:

This is a prospective, observational study of 40 women in each arm and 80 patients in total, operated in the period from October 2008 to December 2010. In this study, we compared data from our audit (UK Group) with data from our Italian colleague (Italy Group). All the surgeons received their surgical training for this repair from the same trainers. This comparative study is undertaken as all the surgeons received similar surgical training. The results were collected and checked compliance against NICE interventional procedure guidelines No.267 audit support.

Results:

The preliminary audit confirms the intra-operative safety and efficacy of the procedure with no intra-operative and post-operative complications. Anatomical restoration was successfully achieved in 95-100% of patients. Re-operation rate was 2.5% in UK group. There were no mesh erosions noted in both the groups after one year. 90% of the patients were satisfied with improvement in functional outcome concerning urinary, bowel symptoms and sexual function and improvement in quality of life whilst the dissatisfaction rate was 10%.

Conclusion:

Pelvic floor reconstruction with CR Mesh procedure safely addresses repair of POP and is compliant with standards defined by NICE.25 It is one of the first case series of its kind with medium term follow-up for this procedure.