Pain Scores and Exposure Rates after Polypropylene Mesh for Pelvic Organ Prolapse.

Academic Article

Abstract

  • OBJECTIVES: To characterize pain and exposure after Prolift placement and identify risk factors. METHODS: A case series of women who underwent Prolift vaginal mesh were surveyed. Pain was assessed using a visual analog scale. Exposure was evaluated clinically. RESULTS: Of 183 eligible patients, 160 completed the survey, and 45 returned for examination. Mean preoperative pain score was 0.97 and postoperative was 1.35 (P = 0.12). Pre- and postoperative pain scores by compartment were: anterior (1.34 vs 1.25, mean change -0.09, P = 0.84), posterior (1.30 vs 1.56, mean change 0.26, P = 0.72), and total (0.63 vs 1.34, mean change 0.71, P = 0.05). Graft exposure was confirmed in 23 of 183 patients (12.6%); however, because asymptomatic patients were not examined, the true exposure rate may be underestimated. Hematoma formation is independently associated with mesh exposure, adjusted odds ratio 18.4 (95% confidence interval 3.4-147.4, P = 0.01). CONCLUSIONS: Although pain scores did not increase overall, there was a trend toward increased pain score in the patients with total (anterior and posterior) Prolift. Hematoma formation was significantly associated with mesh exposure.
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    Keywords

  • Aged, Female, Humans, Middle Aged, Pain Measurement, Pain, Postoperative, Pelvic Organ Prolapse, Polypropylenes, Retrospective Studies, Risk Factors, Surgical Mesh, Surveys and Questionnaires
  • Digital Object Identifier (doi)

    Author List

  • Illston JD; Garris JB; Richter HE; Wheeler TL
  • Start Page

  • 715
  • End Page

  • 721
  • Volume

  • 108
  • Issue

  • 12