De novo dyspareunia after pelvic organ prolapse surgery

Espuña, Montserrat; Puig, Montserrat; Carmona, Francisco

doi:10.1007/s10397-010-0553-8

Table 2 De novo dyspareunia after mesh-L

From: De novo dyspareunia after pelvic organ prolapse surgery

Author	n	Type of surgery	Follow-up		Stages and compartments of women with POP	Outcome	De novo dyspareunia	Erosion/extrusion
Author	n	Type of surgery	Months	Percent	Stages and compartments of women with POP	Outcome	De novo dyspareunia	Erosion/extrusion
Kobashi (2005)	73	Site-specific repair reinforced with cadaveric fascia lata	13.7	85	Symptomatic posterior vaginal wall descent	History, questionnaire	10%	nm
Ross (2008)	48	Endopelvic porcine dermal implants	5 years	79	Stage 2 or greater anterior/posterior vaginal wall prolapse	Symptoms	5% ant.	2%
Ross (2008)	59	Endopelvic porcine dermal implants	5 years	75	Stage 2 or greater anterior/posterior vaginal wall prolapse	Pelvic symptom index	11% post.
Mechia (2007)	206	Anterior vaginal repair vs anterior repair with Pelvicol implant	12	98	Anterior vaginal wall prolapse stage ≥II	Symptoms	15%	0.5%
Mechia (2007)	206		12	98	Anterior vaginal wall prolapse stage ≥II	Symptoms	10%
Dwyer (2004)	97	Anterior or posterior repair plus	29		Posterior vaginal prolapse	History, questionnaire	5%	9%
Dwyer (2004)	97	Atrium mesh	29		Posterior vaginal prolapse	History, questionnaire	5%	9/97
Milani (2005)	63	Anterior or posterior repair plus	17	–	Anterior or posterior vaginal wall prolapse	History, questionnaire	20% ant.	13% anterior
Milani (2005)	63	Prolene mesh	17	–	Anterior or posterior vaginal wall prolapse	History, questionnaire	63% post.	6.5% posterior
Deffieux (2007)	138	Cystocele repair polypropylene mesh (Gynemesh)	32		Anterior vaginal wall prolapse stage ≥II	Symptoms	9%	20%
Deffieux (2007)	138	Cystocele repair polypropylene mesh (Gynemesh)	32		Anterior vaginal wall prolapse stage ≥II	Symptoms	11% (with mesh erosion)	20%
De Tayrac (2007)	143	Cystocele and/or polypropylene mesh	13		Anterior and posterior vaginal wall prolapse stage =II	Symptoms	13%	6.3%
						PFDI
						PFIQ
Natale (2008)	247	Cystocele repair with Marlex mesh and high levator myorrhaphy	60		Vaginal wall prolapse stage ≥II	Symptoms, questionnaires	9.6%	8.4%
Wetta (2009)	68	Prolift mesh	12		Anterior/posterior vaginal wall prolapse stage ≥II	Symptoms, questionnaires	9%	2%
		16 anterior
		16 posterior
		18 total
Lowman (2008)	129	Prolift mesh	6		Vaginal wall prolapse stage ≥II	History, questionnaires	16.7%	16.3%
		5.4% anterior
		19.4% posterior
		75.2% total
Nguyen (2008)	76	RCT—cystocele repair polypropylene mesh vs anterior colporrhaphy	12		Anterior vaginal wall prolapse stage ≥II	Symptoms	16% (no mesh)	5%
Nguyen (2008)	76		12		Anterior vaginal wall prolapse stage ≥II	Symptoms	9% (with mesh)	5%
Sivaslioglu (2008)	90	RCT—cystocele repair polypropylene mesh vs site-specific anterior repair	12		Anterior vaginal wall prolapse stage ≥II	Symptoms	0% (no mesh)	6.9%
Sivaslioglu (2008)	90		12		Anterior vaginal wall prolapse stage ≥II	Symptoms	4.6% (with mesh)	6.9%
Nieminen (2008)	96 no/vs 104 mesh	Anterior and posterior colporrhaphy vs polypropylene mesh	24	88% and 93%	Anterior vaginal wall prolapse stage ≥II	History, questionnaires	13% (no mesh)	8%
Nieminen (2008)	96 no/vs 104 mesh	Anterior and posterior colporrhaphy vs polypropylene mesh	24	88% and 93%	Anterior vaginal wall prolapse stage ≥II	History, questionnaires	8% (with mesh)	8%
Carey (2009)	139	RCT—anterior and posterior colporrhaphy vs polypropylene mesh (Gynemesh)	12		Vaginal wall prolapse stage ≥II	History, questionnaires	15.2% (no mesh)	5.6%
Carey (2009)	139		12		Vaginal wall prolapse stage ≥II	History, questionnaires	16.7% (with mesh)	5.6%

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