Graduate Institute of Medicine, Center of Excellence for Environmental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Eur J Obstet Gynecol Reprod Biol. 2012 Mar;161(1):105-8. doi: 10.1016/j.ejogrb.2011.12.007. Epub 2012 Jan 9.
To evaluate the clinical and urodynamic outcomes of transvaginal mesh repair (TVM) for the treatment of pelvic organ prolapse (POP).
One hundred and twenty-four women with POP stage II to IV were scheduled for a TVM procedure. Preoperative and postoperative assessments included pelvic examination, urodynamic testing, and a personal interview about urinary symptoms using a standard questionnaire.
We found a significant improvement at points Aa, Ba, C, Ap, and Bp (P<0.001) except for total vaginal length (P=0.08), and the overall success rate was 93.5% (116/124). Various urinary symptoms improved significantly following TVM (P<0.01). In addition, residual urine, functional urethral length, and the rate of detrusor overactivity, improved significantly after surgery (P<0.05). Apart from vaginal erosion (14/124; 11.3%), the rates of other surgical complications were acceptably low.
TVM is an effective procedure for the treatment of POP and urinary symptoms, this being possibly related to postoperative release of urethral obstruction. Vaginal erosion is less likely to occur beyond the learning curve.
评估经阴道网片修补术（TVM）治疗盆腔器官脱垂（POP）的临床和尿动力学结果。
124 名 POP II 至 IV 期的女性计划接受 TVM 手术。术前和术后评估包括盆腔检查、尿动力学检查以及使用标准问卷对尿症状进行个人访谈。
除总阴道长度（P=0.08）外，Aa、Ba、C、Ap 和 Bp 点（P<0.001）均有显著改善，总体成功率为 93.5%（116/124）。TVM 后各种尿症状均显著改善（P<0.01）。此外，术后残余尿量、功能性尿道长度和逼尿肌过度活动率均显著改善（P<0.05）。除阴道侵蚀（124 例中有 14 例；11.3%）外，其他手术并发症的发生率较低。
TVM 是治疗 POP 和尿症状的有效方法，这可能与术后尿道梗阻的释放有关。阴道侵蚀发生在学习曲线之外的可能性较小。
