Prospective Study of an Ultra-lightweight Polypropylene Y Mesh for Robotic Sacrocolpopexy
Introduction and hypothesis: To prospectively evaluate the use of a particular polypropylene Y mesh for robotic sacrocolpopexy. Methods: This was a prospective study of 120 patients who underwent robotic sacrocolpopexy. We compared preoperative and 12-month postoperative objective and subjective assessments via the Pelvic Organ Prolapse Quantification (POP-Q), the Pelvic Floor Distress Inventory, Short Form 20 (PFDI-20); the Pelvic Floor Impact Questionnaire, Short Form 7 (PFIQ-7); and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire 12 (PISQ-12). Objective 'anatomical success' was defined as POP-Q stage 0 or 1 at all postoperative intervals. We further defined 'clinical cure' by simultaneously considering POP-Q points and subjective measures. To be considered a 'clinical cure,' a given patient had to have all POP-Q points ≤0, apical POP-Q point C ≤5, no reported pelvic organ prolapse symptoms on the PFDI-20, and no reoperation for prolapse at all postoperative intervals. Results: Of the 120 patients, 118 patients completed the 1-year follow-up. The objective 'anatomical success' rate was 89 % and the 'clinical cure' rate was 94 %. The PFDI-20 mean score improved from 100.4 at baseline to 21.0 at 12 months ( p < 0.0001); PFIQ-7 scores improved from 61.6 to 8.0 ( p < 0.0001); and PISQ-12 scores improved from 35.7 to 38.6 ( p < 0.0009). No mesh erosions or mesh-related complications occurred. Conclusion: The use of this ultra-lightweight Y mesh for sacrocolpopexy, eliminated the mesh-related complications in the first postoperative year, and provided significant improvement in subjective and objective outcomes.
Salamon C, Lewis C, Priestley J, Gurshumov E, Culligan P. Prospective Study of an Ultra-lightweight Polypropylene Y Mesh for Robotic Sacrocolpopexy. International Urogynecology Journal. August 2013; 24(8): 1371-1375.