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Pelvic organ prolapse surgery less effective than expected
Date:5/15/2013

rocolpopexy for a period of seven years following surgery. Approximately half of these women also underwent another surgical procedure at the same time to prevent incontinence, which is a common complication after POP surgery. The researchers found that nearly one-third of women experience a recurrence of POP, either on examination or by reported symptoms, within five years of surgery.

"We were surprised to find that treatment failure rates after sacrocolpopexy were as high as they were," says Nygaard. "But, it's important to note that the failure rate depends on how failure is defined. In our study, few women had repeat surgery, even if they had symptoms related to POP."

Nygaard and her colleagues found that a majority of women who undergo sacrocolpopexy eventually experience urinary incontinence at some point. Women who underwent incontinence prevention surgery at the time of sacrocolpopexy were less likely to experience urinary incontinence and did not experience any additional complications related to that surgery. The researchers also found that mesh-related complications of sacrocolpopexy continue to occur over time. Approximately 10 percent percent of the women enrolled in the study experienced mesh erosion, and two-thirds of these women underwent surgical mesh removal.

"Women who undergo sacrocolpopexy need to be educated about symptoms, such as bleeding, discharge or pain, which may be warning signs of mesh erosion so they can seek help," says Nygaard. "Our findings also highlight the importance of improving our understanding of the natural history of POP, as well as developing methods to prevent POP progression if diagnosed in its early stages."

A multidisciplinary team of researchers at the University of Utah, including physicians, biomechanical engineers, exercise scientists, biostatisticians, nurses, and physical therapists, is currently conducting research on preventing early POP. The PFDN is also performing a study
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Contact: Phil Sahm
phil.sahm@hsc.utah.edu
801-581-2517
University of Utah Health Sciences
Source:Eurekalert

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