Prospective international multicenter pelvic floor study: follow-up
results and clinical findings combining pectopexy and native tissue
repair
Abstract
Objective: To reduce mesh use for prolapse repair, practice has shifted
towards traditional native tissue. Combining native tissue repair with
sufficient apical repair could allow effective treatment. Pectopexy
showed in a randomized trial focusing on combining traditional native
tissue repair with pectopexy or sacrocolpopexy no association with new
risks for patients. The short follow-up of this international
multicenter study is presented in this article. Design, Setting, and
Population: Eleven clinics and 13 surgeons in four European counties
participated in the study. All surgeons committed to using a strict
standard for pectopexy, using a pre-tailored mesh (PVDF PRP 3×15
Dynamesh solely for apical repair. Methode: Data were independently
collected for 14 months on a secured server; 501 surgeries were
documented and evaluated and 264 (52.7%) patients returned for physical
examination for follow-up. Main Outcome and Results: The mean follow-up
time was 15 months, and the overall success rate for apical repair was
96.9%. A satisfaction score was positively rated in 95.5% of the
patients. A positive general recommendation was provided by 95.1% of
the patients. Pelvic pressure was reduced in 95.2%, pain was reduced in
98.0%, and urgency was reduced in 86.0%.No major de novo problems
occurred in the follow-up. Conclusion: Clinical routine pectopexy and
concomitant surgery, mainly using native tissue approaches, resulted in
high satisfaction rates and good clinical findings. The procedure can
also be recommended for general use by general uro-gynecological
practitioners with experience in laparoscopy. Funding: FEG
Textieltechnik; Aachen Keywords: prolapse; pelvic floor; laparoscopy;
native tissue, pectopexy