Efficacy of the mini mesh for reducing prolapse recurrence: comparison of two implant positioning methods

Abstract

Pelvic organ prolapse (POP) is a common disorder in women during the reproductive, menopausal, and post-menopausal periods; it is estimated that 50% of all parous women will have an anatomical POP. POP impairs urinary, bowel, and sexual functions as well as self-esteem. While herniation of the anterior pelvic floor compartment is associated with cystocele, that of the posterior pelvic floor compartment is associated with rectocele, enterocele, and uterine prolapse. Approximately 11% of all women are surgically treated for symptomatic POP. However, 30%–65% of the surgically treated patients require repeat prolapse surgery. Owing to possible complications, the use of a mesh implant in the treatment of POP is controversial. To support the internal pelvic organs, the weakened pelvic fascia is replaced by the synthetic mesh. This has been previously shown to be effective and safe with the posterior intra-vaginal slingplasty (PIVS) in the treatment of vaginal apex prolapse. The invasiveness and painful complications of old surgical techniques encouraged Petros et al. to design this new treatment for anatomical restoration. As a forerunner to future mesh design and surgical techniques, the ABSTRACT