Conflicts of interest: none.
Original Clinical Article
Article first published online: 12 MAR 2010
Copyright © 2010 Wiley-Liss, Inc.
Neurourology and Urodynamics
Volume 29, Issue 8, pages 1419–1423, November 2010
How to Cite
Ek, M., Altman, D., Falconer, C., Kulseng-Hanssen, S. and Tegerstedt, G. (2010), Effects of anterior trocar guided transvaginal mesh surgery on lower urinary tract symptoms. Neurourol. Urodyn., 29: 1419–1423. doi: 10.1002/nau.20880
Competing interests and financial disclosure: D.A. is an advisor to Gynecare Scandinavia and Ethicon US. C.F. is an advisor to Gynecare Scandinavia. G.T. has received instructor honoraria from Gynecare Scandinavia. M.E. and S.K.H. report no conflicts of interest. None of the researchers in the Nordic transvaginal mesh group own stock or hold stock options in the mesh manufacturing company.
Linda Brubaker led the review process.
- Issue published online: 12 MAR 2010
- Article first published online: 12 MAR 2010
- Manuscript Accepted: 30 NOV 2009
- Manuscript Received: 11 NOV 2009
- Regional Agreement on Medical Training and Clinical Research
- Stockholm County Council and Karolinska Institutet
- pelvic organ prolapse;
- reconstructive surgery
To assess the effects of trocar guided transvaginal mesh on lower urinary tract symptoms after anterior vaginal wall prolapse repair.
One hundred twenty-one patients undergoing anterior transvaginal mesh surgery was prospectively evaluated at baseline and 1 year after surgery using the urogenital distress inventory (UDI).
Overall UDI scores declined from 91 before surgery to 31 one year after surgery (P < 0.001). UDI subscales for obstructive and irritative symptoms improved 1 year after surgery (P < 0.001 for both) while stress symptoms did not (P = 0.11).
Trocar guided transvaginal mesh surgery for anterior vaginal wall prolapse was associated with an overall resolution of most symptoms associated with overactive bladder syndrome and bladder outlet obstruction. These beneficial effects should be weighed against an increased risk for stress urinary incontinence related to the procedure. Neurourol. Urodynam. 29:1419–1423, 2010. © 2010 Wiley-Liss, Inc.