Featured Research

from universities, journals, and other organizations

Synthetic mesh can improve outcome of prolapse surgery

Date:
May 16, 2011
Source:
Karolinska Institutet
Summary:
A Nordic multicentre study shows that pelvic organ prolapse surgery using synthetic mesh can be more effective than traditional surgery. The advantages indicated by the study mainly concern restored genital anatomy and more efficient symptom relief, although there is an associated greater risk of complications.

A Nordic multicentre study, headed by researchers from Karolinska Institutet in Sweden, shows that pelvic organ prolapse surgery using synthetic mesh can be more effective than traditional surgery. The advantages indicated by the study mainly concern restored genital anatomy and more efficient symptom relief, although there is an associated greater risk of complications.

The study is published in The New England Journal of Medicine.

Prolapse is a common post-childbirth condition and involves the loss of support for the vagina and pelvic organs, which descend and in some cases protrude through the vaginal opening. In recent years it has been observed that traditional prolapse surgery often fails to produce the desired results. In Sweden an estimated 7-8,000 prolapse operations are performed annually, and in the US approximately 300,000 procedures are performed each year.

The present study compared traditional prolapse surgery with a new method based on the surgical implantation of a polypropylene mesh to provide permanent support for the weakened pelvic floor. The same type of mesh is used routinely for other surgical interventions, such as hernias and incontinence. The study included 389 women with pelvic organ prolapse; of these, 200 were randomly selected for mesh surgery while the others were operated on in the conventional manner.

The results of the study showed that mesh surgery reduced the risk of relapse, and the patients experienced a significantly better outcome with respect to prolapse symptoms. However, it was also observed that the mesh implant caused additional complications during surgery as well as several cases of mesh-related problems up to a year afterwards.

"The new surgical method has distinct advantages over traditional surgery," says Christian Falconer, Associate Professor at Karolinska Institutet and Senior Consultant at Danderyd Hospital. "But the fact that the risk of complications increases means that we must be careful to inform the patient and weigh up the pros and cons of the two methods in every individual case."

Dr Falconer also notes that the study is important as it confirms a new treatment principle and establishes the use of a permanent vaginal support as an alternative method of prolapse surgery. However, work still needs to be done on material and method development in order to reduce the risk of complications and to identify patients for whom the method can bring particular benefits.

The article in The New England Journal of Medicine is the result of a Nordic collaboration involving 53 clinics in Sweden, Norway, Finland and Denmark. Associate professor and senior consultant Daniel Altman and Dr Falconer, both from Karolinska Institutet's department at Danderyd Hospital (KI DS) headed the study. The study was supported by grants from the Swedish Society of Medicine, the Karolinska Institutet research foundations, the Stockholm County Council, and the medical technology company Ethicon.


Story Source:

The above story is based on materials provided by Karolinska Institutet. Note: Materials may be edited for content and length.


Journal Reference:

  1. Daniel Altman, Tapio Vδyrynen, Marie Ellstrφm Engh, Susanne Axelsen, Christian Falconer. Anterior Colporrhaphy versus Transvaginal Mesh for Pelvic-Organ Prolapse. New England Journal of Medicine, 2011; 364 (19): 1826 DOI: 10.1056/NEJMoa1009521

Cite This Page:

Karolinska Institutet. "Synthetic mesh can improve outcome of prolapse surgery." ScienceDaily. ScienceDaily, 16 May 2011. <www.sciencedaily.com/releases/2011/05/110512082940.htm>.
Karolinska Institutet. (2011, May 16). Synthetic mesh can improve outcome of prolapse surgery. ScienceDaily. Retrieved July 29, 2014 from www.sciencedaily.com/releases/2011/05/110512082940.htm
Karolinska Institutet. "Synthetic mesh can improve outcome of prolapse surgery." ScienceDaily. www.sciencedaily.com/releases/2011/05/110512082940.htm (accessed July 29, 2014).

Share This




More Health & Medicine News

Tuesday, July 29, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Generics Eat Into Pfizer's Sales

Generics Eat Into Pfizer's Sales

Reuters - Business Video Online (July 29, 2014) — Pfizer, the world's largest drug maker, cut full-year revenue forecasts because generics could cut into sales of its anti-arthritis drug, Celebrex. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Nigeria Ups Ebola Stakes on 1st Death

Nigeria Ups Ebola Stakes on 1st Death

Reuters - Business Video Online (July 29, 2014) — Nigerian authorities have shut and quarantined a Lagos hospital where a Liberian man died of the Ebola virus, the first recorded case of the highly-infectious disease in Africa's most populous economy. David Pollard reports Video provided by Reuters
Powered by NewsLook.com
Running 5 Minutes A Day Might Add Years To Your Life

Running 5 Minutes A Day Might Add Years To Your Life

Newsy (July 29, 2014) — According to a new study, just five minutes of running or jogging a day could add years to your life. Video provided by Newsy
Powered by NewsLook.com
Ebola Outbreak Poses Little Threat To U.S.: CDC

Ebola Outbreak Poses Little Threat To U.S.: CDC

Newsy (July 29, 2014) — The Ebola outbreak in West Africa poses little threat to Americans, according to officials with the Centers for Disease Control and Prevention. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins