Benjamin Feiner

TL;DR: The rate of complications requiring reoperation and the total reoperation rate was highest for vaginal mesh kits despite a lower re operation rate for prolapse recurrence and shorter overall follow-up.

TL;DR: In this paper, the effects of the many different surgeries used in the management of pelvic organ prolapse were evaluated in a large number of randomized controlled trials, and the results showed that anterior repair was associated with more anterior compartment prolapse on examination than for any polypropylene (permanent) mesh repair (RR 3.15, 95% CI 2.50 to 3.96).

TL;DR: The safety and efficacy of any surgical intervention compared to another intervention for the management of apical vaginal prolapse is evaluated and no conclusive evidence that vaginal procedures increaserepeat surgery for stress urinary incontinence (SUI) is found.

TL;DR: Awareness of prolapse at one to three years was less likely after mesh repair, and if 5% of women require repeat surgery after native tissue repair, between 7% and 18% in the permanent mesh group will do so, and effects on quality of life were uncertain.

TL;DR: The laparoscopic sacral colpopexy had a higher satisfaction rate and objective success rate than the total vaginal mesh with lower perioperative morbidity and reoperation rate at 2 years.