Table 3 Functional results (graft surgery versus traditional surgery)
From: Use of vaginal mesh for pelvic organ prolapse repair: a literature review
Trial | Number | Number of patients studied (graft surgery versus traditional surgery) | Results (graft surgery versus traditional surgery) |
|---|---|---|---|
Nieminena 2008 [21] | 202 | 182 (97 versus 85) | Score for vaginal bulge significantly lower in the mesh group 2 years after surgery |
Scores for sexual function did not differ between the groups at baseline and 2 years after surgery | |||
Score for dyspareunia significantly lower in the mesh group | |||
Higher rate of patient reported their vagina to be too loose for intercourse in the mesh group | |||
Guerettea 2009 [13] | 94 | 1 year: 72 (35 versus 37) | Better UDI-6 score after surgery in both groups |
Scores for sexual function did not differ between the groups at baseline and after surgery | |||
2 years: 59 (26 versus 33) | |||
Better rate of dyspareunia and PISQ-12 score after surgery in both groups | |||
Hiltunen 2007 [6] | 202 | 2 months: 201 (104 versus 97) | Majority of the symptoms resolved after surgery in both groups |
Symptomatic recurrence higher in mesh group 12 months after surgery (4% versus 15%) | |||
12 months: 200 (104 versus 96) | |||
Stress urinary incontinence reported more frequently in the mesh group 12 months after surgery (23% versus 10%) | |||
Nguyen 2008 [10] | 76 | 75 (37 versus 38) | Better PFDI-20 and PFIQ-7 scores after surgery in both groups |
Lower POPDI-6 and UDI-6 scores, and higher CRADI-8 score in the mesh group | |||
Sexual function, PISQ-12 score and rate of dyspareunia did not differ between the groups at baseline and after surgery | |||
Sivasliolgu 2008 [11] | 90 | 85 (43 versus 42) | Better P-QOL score after surgery in both groups |
Carey 2009 [12] | 139 | 124 (63 versus 61) | Worsening PSI-QOL, SUDI, SIIQ and CCCS scores after surgery in both groups |
Rate of dyspareunia did not differ between the groups at baseline and after surgery | |||
Lunardelli 2009 [14] | 32 | 32 (16 versus 16) | Similar rate of de novo stress urinary incontinence between the groups after surgery (6.25%) |
Ek 2010 [16] | 50 | 47 (22 versus 25) | Higher rate of de novo stress urinary incontinence in mesh group after surgery (32% versus 8%) |
Lower MUCP in mesh group after surgery in overweight women | |||
Lower MUCP in mesh group after surgery in 65-years old or older patients | |||
Iglesia 2010 [19] | 65 | 65 (32 versus 33) | Better scores about symptoms, quality of life and dyspareunia after surgery in both groups |
Nieminen 2010 [22] | 202 | 182 (97 versus 85) | All symptoms of prolapse resolved after surgery in both groups |
Sexual function did not differ between the groups at baseline and 2 years after surgery | |||
Meschia 2007 [7] | 206 | 201 (98 versus 103) | Improvement of symptoms of prolapse after surgery in both groups |
Natale 2009 [15] | 190 | 190 (96 Gynemesh® versus 94 Pelvicol®) | Improvement of quality of life after surgery in Gynemesh® group in the domains: prolapse impact, social limitations, emotions, and severity measures. |
Improvement of quality of life after surgery in Pelvicol® group in all domains with the exclusion of physical limitations | |||
Comparing the postoperative quality of life in both groups: better impact of Pelvicol® in the domains: social limitations and emotions | |||
Better PISQ-12 score after surgery in Pelvicol® group | |||
Comparing the postoperative sexuality in both groups: better impact of Pelvicol® | |||
Feldner 2010 [17] | 56 | 56 (29 versus 27) | Better P-QOL score after surgery in both groups |
Hviid 2010 [18] | 61 | 3 months: 50 (27 versus 23) | Better P-QOL score after surgery in both groups |
12 months: 54 (28 versus 26) | |||
De Tayrac 2008 [9] | 49 | 45 (21 versus 24) | Lower pain and buttock pain in IVS® group the first day after surgery |
No difference of “mean VAS” and “rate of patients with VAS > 5” in both groups after long term follow-up (4.8 versus 12.5%) | |||
No difference of rate of patients “satisfy” and “very satisfy” in both groups after long term follow-up (85.7% versus 79.2%) | |||
Better UDI, POPDI, CRADI, UIQ, CRAIQ and POPIQ score after surgery in both groups | |||
Absence of improvement of PISQ-12 score after surgery in both groups | |||
Paraiso 2006 [5] | 106 | 81 (26 graft reinforcements versus 27 plication of the fascia versus 28 site-specific surgical repair) | Better PFDI-20 and PFIQ-7 scores after surgery in all groups |
Better quality of life after surgery in all groups | |||
Better PISQ-12 scores after surgery in all groups | |||
Absence of lower rate of dyspareunia after surgery in all groups | |||
Lopes 2010 [20] | 32 | 30 (14 versus 16) | Better quality of life (KHQ) 1 year after traditional surgery but without statistically significant difference |