ABSTRACT

Aims:

To evaluate whether the use of single incision un-anchored small mesh implants is feasible, safe and effective for women with moderate pelvic organ prolapse.

Methods:

Patients diagnosed with moderate pelvic organ prolapse were enrolled to undergo a single incision un-anchored mesh operation. Follow-up was 12 to 31 months. The outcome measures for this study were the operative safety and postoperative pain, adverse effects and anatomical as well as functional cure. The operations were performed under general anesthesia according with the reported surgical techniques at university and private hospitals. One hundred and fifty-seven patients diagnosed with moderate pelvic floor prolapse participated in this study. Data regarding cure rate, complications and patient’s satisfaction were collected prospectively; patients were interviewed and examined at the end of the first month and interviewed again at the study conclusion.

Results:

Peri-operative and post-operative data were collected from patient’s charts. Anatomical findings were measured with the POP-Q system, pain levels were estimated with visual analogue scales and outcome by UDI-6 and IIQ-7 questionnaires. No significant intra- or post-operative complications were reported. At the first and twelve months postoperative follow-up both the recorded observations and patient interviews and physical check-up, as well as tele-interview at the study conclusion, indicated satisfactory cure rates and minimal adverse effects.

Conclusions:

The data presented support the proposition that single incision un-anchored small pelvic floor meshes might be used successfully in patients with moderate pelvic floor prolapse.