Evidence Regarding Optimal Surgical Management of Pelvic Organ Prolapse

I attended the recent IUGA Conference in Brisbane where Dr Chris Maher reported on a detailed meta-analysis of the evidence related to the optimal surgical management of pelvic organ prolapse. Studies have not uncovered a clear advantage of using anterior compartment mesh over anterior repair (colporrhaphy). The meta-analysis revealed that anterior colporrhaphy repair has much higher rates of objective failure than mesh anterior repair. However mesh did not have improved quality of life outcomes and sexual function outcomes, which were similar in the mesh or no mesh groups.

They found that posterior colporrhaphy fascial repair remains the gold standard over transvaginal mesh in the posterior and apical compartments.



Mary O'Dwyer
Women's Health Physiotherapist

October 2012