Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2010 Apr;21(4):389-94.
doi: 10.1007/s00192-009-1052-1.

Transvaginal polypropylene mesh versus sacrospinous ligament fixation for the treatment of uterine prolapse: 1-year follow-up of a randomized controlled trial

Eliana Duarte Lopes  1 , Nucélio Luiz de Barros Moreira Lemos, Silvia da Silva Carramão, Jacqueline Leme Lunardelli, José Maria Cordeiro Ruano, Tsutomu Aoki, Antonio Pedro Flores Auge
Affiliations
Randomized Controlled Trial

Transvaginal polypropylene mesh versus sacrospinous ligament fixation for the treatment of uterine prolapse: 1-year follow-up of a randomized controlled trial

Eliana Duarte Lopes et al. Int Urogynecol J. 2010 Apr.

Abstract

Introduction and hypothesis: The objective of this study was to compare the anatomical and quality of life outcomes of a posterior polypropylene mesh kit versus sacrospinous ligament fixation at the time of hysterectomy for the treatment of uterine prolapse.

Methods: Thirty-two women aged 50 to 75 years with stage III or IV (pelvic organ prolapse quantification system/International Continence Society) uterine prolapse were randomized into two groups (group 1: polypropylene mesh, Nazca R, Promedon, Cordoba, Argentina; group 2: sacrospinous ligament fixation).

Results: At 12-month follow-ups, we observed the same anatomical results in both groups. The median operating time, intraoperative blood loss, and perioperative complications were also equal in both groups. There were five cases (35.71%) of mesh erosion, and prolapse of the anterior vaginal wall (cystocele) occurred in 50% of the patients.

Conclusions: Similar anatomical and quality of life outcomes were observed with polypropylene mesh and sacrospinous ligament fixation for the treatment of uterine prolapse. Complication rate was higher in the mesh group.

PubMed Disclaimer

References

    1. Am J Obstet Gynecol. 2003 Jan;188(1):108-15 - PubMed
    1. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Apr;19(4):467-71 - PubMed
    1. Obstet Gynecol. 1997 Apr;89(4):501-6 - PubMed
    1. Br J Obstet Gynaecol. 1997 Dec;104(12):1374-9 - PubMed
    1. Int J Gynaecol Obstet. 1996 Feb;52(2):197-205 - PubMed

Publication types

LinkOut - more resources