Outcome of transvaginal pelvic reconstructive surgery with Prolift after a median of 2 years' follow-up

This study seeks to analyze the medium- to long-term outcome of transvaginal pelvic reconstructive surgery using the Prolift (TM) system for pelvic organ prolapse. Sixty-five patients who underwent pelvic floor reconstruction using Prolift (TM) were followed for 1 to 3 years postoperatively. Assessment included pre- and postoperative Pelvic Organ Prolapse Quantification (POP-Q) stage, Urogenital Distress Inventory (UDI-6), and Incontinence Impact Questionnaire (IIQ-7) scores. The overall anatomic success rate was 97% after a median of 24.5 months and 94% for the 34 women followed for more than 2 years. POP-Q stage, UDI-6, and IIQ-7 scores all improved significantly after surgery. Complications included one bladder perforation (1.5%) and one bowel perforation (1.5%), prolonged catheterization in four patients (6%), and mesh erosion in one (2%). Eight received blood transfusion (12%). Prolift (TM) surgery yielded a good anatomical outcome and satisfactory symptom improvement that appeared to be durable after 2 years.