A Short-term Clinical Analysis of Mesh-Utilizing Pelvic Floor Reconstruction Without Puncture in Treating Symptomatic Moderate to Severe Pelvic Organ Prolapse

Objective:To evaluate short-term clinical effects of mesh-utilizing pelvic floor reconstruction without puncture in the treatment of symptomatic moderate to severe pelvic organ prolapse.Methods:eight patients with POP-Q(pelvic organ prolapse quantification) stage 3 had TVH(Hysterectomy) + mesh-utilizing pelvic floor reconstruction without puncture(PROSIMA pelvic floor reconstruction).Peri-operative clinical parameters,short term outcomes after surgery and complications were analyzed by objective method(PFIQ-7) and subjective method(POP-Q).Results:Median operation time was 60 minutes(54～65 minutes),median blood loss was 55 ml(30～90ml).No severe intra-operative complications were recorded.88%(7/8) patients were able to micturate spontaneously in the next morning after surgery with postvoid residual volume less than 100 ml.Postoperative morbidity was zero.Median post-operative hospital stay was 3 days(3～6 days).The median follow up time was 4 months(1～6 months).According to POP-Q system evaluation,the successful rate of operation reached 100%(8/8);only one patient complained that increased vaginal excretion after surgery.No postoperative complications,such as urinary tract infection,incontinence,mesh exposure,or pain in lower extremities were found.100%(8/8) patients reported that the subjective symptoms remissed,with PFIQ-7 scores significantly improved compared with baseline.Conclusions:PROSIMA pelvic floor reconstruction is a micro-invasive and efficient procedure with few complications.However,a long-term follow-up is necessary to detect any late complication and further clinical studies are required to establish the role of this surgery.