Mid-term performance of laparoscopic sacrocolpopexy using polytetrafluoroethylene mesh ORIHIME®

Abstract

Since 2017, polytetrafluoroethylene (PTFE) mesh ORIHIME® has been available in Japan for pelvic organ prolapse surgery. PTFE mesh is a potential material for the reconstruction of pelvic floor, however, there have not been any report on the LSC using PTFE mesh. The aim of the study is to confirm the feasibility of LSC with PTFE mesh by investigating the mid-term outcomes of LSC with this mesh. The materials were ORIHIME® and 30 patients with POP who underwent LSC using ORIHIME® in 2018. All cases underwent double mesh LSC, and subtotal hysterectomy was carried out concomitantly. Mean operation time was 145 min. We experienced no intraoperative complication. The patients were to be followed up to 3 years after operation. But only 19 patients were able to be followed up to 3 years. We experienced no mesh related complication. Stress urinary incontinence was seen in 8 patients (27%). As for recurrence of POP, we saw 3 cases (10%). Considering the results, LSC with PTFE mesh may have potential in reconstructing the female pelvic floor of POP patients.