The result of interval cystoscopic evaluation after 6-month post-operative anterior vaginal mesh repair: cross-sectional study
IUGA Academy. Puttanapitak B. Jun 30, 2018; 212789; 415 Topic: Vaginal Mesh Complications
Ms. Bussaranya Puttanapitak
Ms. Bussaranya Puttanapitak

Access to Premium content is currently a membership benefit.


Click here to join IUGA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)

415

The result of interval cystoscopic evaluation after 6-month post-operative anterior vaginal mesh repair: Cross-sectional study

Leerasiri, P1;Puttanapitak, B1; Hengrasmee, P1; Asumpinwong, C1

1: siriraj hospital

Introduction: Anterior vaginal repair constitutes up to 80% of all vaginal surgery and has a high rate of recurrence. Mesh graft surgery has a higher success rate than traditional approaches. Mesh erosion is the most common complication and intravesical mesh erosion can only be detected by cystoscopy. Therefore, we studied the prevalence of abnormal intravesical findings in asymptomatic patients six months or more after anterior vaginal mesh repair.

Objective: To find abnormal intravesical findings related to anterior vaginal mesh repair and the factors associated with these abnormal finding

Methods: We conducted an observational study in pelvic organ prolapse patients that had undergone anterior vaginal mesh repair at least 6 months before enrollment. Demographic and clinical data were collected. Urinalysis and routine pelvic examination were performed and rigid cystoscopy using a 30-degree lens was conducted to determine if mesh perforation was present. Abnormal intravesical findings such as mucosal inflammation, mass or stone were recorded.

Results: 100 subjects were enrolled. The median age was 68 years old (range 43 to 84). The mean body mass index (BMI)was 25.28 kg/m2 +/- 3.7. Prolapse stage in the anterior compartment ranged from 2 to 4 (median 3). Fifty-two subjects had evidence of vaginal mesh erosion. No intravesical mesh erosion or abnormal intravesical findings related to anterior vaginal mesh repair were observed (95% confidence interval: 0% to 3.7%). Two subjects had abnormal findings including Hunner’s ulcers with glomerulation and a bladder diverticulum with large trabeculae.

Conclusions: Routine cystoscopy in asymptomatic long term post-operative anterior vaginal mesh repair patients may not be necessary.

Disclosure:

Work supported by industry: no.

Code of conduct/disclaimer available in General Terms & Conditions

By continuing to browse or by clicking “Accept Terms & all Cookies”, you agree to the storing of third-party cookies on your device to enhance your user experience and agree to the user terms and conditions of this learning management system (LMS).

Cookie Settings
Accept Terms & all Cookies