Sacrocolpopexy tends to be superior to transvaginal mesh surgery

Nikolaus Veit-Rubin, Rufus Cartwright
BJOG: An International Journal of Obstetrics and Gynaecology 2020 July 10
The use of synthetic mesh prostheses to treat pelvic organ prolapse (POP) remains highly controversial. Despite complete restriction on vaginally placed mesh in Australia and New Zealand (2017), the UK (2018), and the USA (2019), transvaginal mesh (TVM) prolapse repair remain widely in many countries, including China and most of East Asia. Sacrocolpopexy (SC) is widely considered as the gold-standard for surgical correction of vaginal vault prolapse. (Maher C et al,. Cochrane Database of Systematic Reviews 2016, Issue 11. Art,) while hysteropexy is an increasingly popular option for uterine prolapse (Meriwether KV et al.. Am J Obstet Gynecol. 2018;219(2):129-146.e2.). Both sacrocolpoexy and hysteropexy are considered safe and effective when performed laparoscopically.

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