Impact of transvaginal mesh surgery combined with sacrospinous ligament fixation on the quality of life of patients with severe pelvic organ prolapse
WANG Su
ZHANG Xiao-wei
CHEN Li-quan
XU Li-zhen
Abstract：Objective To investigate the effects of transvaginal mesh(TVM)combined with sacrospinous ligament fixation(SSLF)on the quality of life in patients with severe pelvic organ prolapse(POP).Methods A retrospective analysis was performed concerning the data of patients who underwent TVM combined with SSLF or the combined transabdominal-transvaginal laparoscopic sacral colpopexy(LSC)due to severe uterine-vaginal prolapse at The First Affiliated Hospital of Guangzhou Medical University from January 2018 to July 2021.Postoperative outcomes including prolapse recurrence rates,incidence of vaginal mesh exposure,and pelvic floor dysfunction-related quality of life(PFDI-20 and PFIQ-7 scores)were evaluated and compared between the two groups.Results A total of 202 patients were included in the study(71 in the TVM combined with SSLF group and 131 in the LSC group),with a median follow-up duration of 28.5 months.No significant differences were observed in the baseline data between the two groups(P＞0.05).The prolapse recurrence rate(4.2％vs.3.8％),reoperation rate(1.4％vs.2.3％),and vaginal mesh exposure rate(4.2％vs.9.1％)did not differ significantly between the two groups(P＞0.05).Both PFDI-20 and PFIQ-7 scores significantly decreased postoperatively;however,severe constipation occurred in four patients in the LSC group.The rate of postoperative patient satisfaction and willingness to recommend the procedure was 76.1％and 70.2％,respectively;no statistically significant difference was observed between the two groups(P＞0.05).Conclusions TVM combined with SSLF significantly improves postoperative quality of life and yields high patient satisfaction,with potentially less impact on postoperative colorectal symptoms compared to LSC.
Keywords：transvaginal mesh surgerysacrospinous ligament fixationcombined transabdominal-transvaginal laparoscopic sacral colpopexypelvic organ prolapse
Publication Date：2025-05-02
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 561-564 )