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Good Patient Satisfaction and Low Complication Rates Seen at 1 Year With Pelvic Floor Repair: Presented at AUGS By Laura Gater CHICAGO -- September 5, 2008 -- Transvaginal prolapse surgery involving the Prolift pelvic floor repair systems results in high levels of satisfaction and a low rate of complications, researchers reported here at the American Urogynecologic Society's 19th Annual Scientific Meeting (AUGS). Marianna Alperin, MD, MS, Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Urogynecology, Reconstructive Pelvic Surgery at the Magee-Women's Hospital, University of Pittsburgh, Pittsburgh, Pennsylvania, presented the study results on September 5. The vaginal approach to pelvic floor reconstructive surgery has the potential for less pain and an easier recovery than other approaches, Dr. Alperin explained. The mean anatomical success rate of this approach is 94% among the 200,000 pelvic organ prolapse (POP) surgeries performed annually in the United States, she noted. To assess prospectively the anatomical and functional outcomes 1 year after prolapse repair using the Prolift(R) system, Dr. Alperin and colleagues evaluated 40 women available 1 year after undergoing the procedure. Subjective analysis included patient assessment of symptoms, quality of life, and sexual function using the validated Pelvic Floor Distress Inventory (PFDI), Pelvic Floor Impact Questionnaire (PFIQ), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ). Global patient satisfaction was assessed with a visual analogue scale. The women were also asked whether they would recommend the procedure to a friend. Of the 40 women, 32 had stage 2 prolapse preoperatively, 6 women had stage 1, and 2 had stage 3 prolapse. Postoperatively, those numbers changed to 17 in stage 0, 20 in stage 1, and 3 in pre-stage 0. Adverse outcomes included bladder drainage on discharge (42%), urinary tract infections (25%), bladder perforation (2.5%), mesh exposure (5%), and de novo dispareunia (13.6%). The median patient global satisfaction score at 1 year was 9.2 on a scale of 1 (very unsatisfied) to 10 (very satisfied); 95% of the women said that they would recommend the same procedure to a friend. The researchers concluded that the study's anatomical findings demonstrate a significant and sustained improvement in anterior, posterior, and apical compartments. Sexual function as shown by the PISQ score was significantly improved after prolapse repair, the researchers said. [Presentation title: One-Year Anatomic and Functional Outcomes After Reconstructive Surgery With Prolift(R) Pelvic Floor Repair System. Paper 41] E-mail this page to a friend or colleague! To print, use this version