Back
 OJU  Vol.3 No.2 , May 2013
Tailor-Made Mesh for Pelvic Organ Prolapses: Correlation between Patient’s Height and Mesh Size
Abstract: Tension-free vaginal mesh (TVM) surgery is a common and minimally invasive procedure for pelvic organ prolapses. Since commercial kits are not readily available in Japan, we have planned tailor-made mesh by information of each patient before every TVM surgery. The aim of this report is to inform methods to design mesh for individual patients with pelvic organ prolapses. We also investigated the correlations among mesh size and height, weight, and body mass index (BMI). Before the operation, we obtained a KUB (abdominal X-ray). Three factors were measured from this X-ray: the first was the distance between the bilateral ischial spine, the second was the distance between the obturator foramen, and the third was the length of the arcus tendineus fascia pelvis (ATFP). These three factors always should be considered for designing of mesh. The correlations among the bilateral ischial spine distance, obturator foramen distance, ATFP length, height, weight, and BMI were assessed using the Pearson correlation coefficient. Although these three factors described above are necessary to design a mesh for individual patients, the bilateral ischial spine and obturator foramen distance correlated with the height of the patient. On the other hand, since the length of ATFP differs in each patient and is not correlated with height, we should consider this length when we design the mesh. Well-designed, tailor-made mesh will probably fit each pelvic organ prolapsed patient very well.
Cite this paper: H. Kobayashi, Y. Haneda, S. Kira, T. Tsuchida, I. Araki and M. Takeda, "Tailor-Made Mesh for Pelvic Organ Prolapses: Correlation between Patient’s Height and Mesh Size," Open Journal of Urology, Vol. 3 No. 2, 2013, pp. 121-123. doi: 10.4236/oju.2013.32023.
References

[1]   P. Debodinance, J. Berrocal, H. Clave, et al., “Changing Attitudes on the Surgical Treatment of Urogenital Prolapse: Birth of the Tension-Free Vaginal Mesh,” Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Vol. 33, No. 7, 2004, pp. 577-588. doi:10.1016/S0368-2315(04)96598-2

[2]   M. Boukerrou, E. Lambaudie, P. Collinet, et al., “Objective Analysis of Mechanical Resistance of Tension-Free Devices,” European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 124, No. 2, 2006, pp. 240-245. doi:10.1016/j.ejogrb.2005.06.040

[3]   F. Caquant, P. Collinet, P. Debodinance, et al., “Safety of Trans Vaginal Mesh procedure: Retrospective Study of 684 Patients,” Journal of Obstetrics and Gynaecology Research, Vol. 34, No. 4, 2008, pp. 449-456. doi:10.1111/j.1447-0756.2008.00820.x

[4]   M. Takeyama, Y. Uesaka, S. Itoh, et al., “Feasibility of the Tension-Free Vaginal Mesh Procedure Using Soft Polypropylene Mesh (Gynemesh PS) Japan,” International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 18, 2007, pp. S46-S47.

[5]   K. Kato, S. Suzuki, S. Yamamoto, et al., “Clinical Pathway for Tension-Free Vaginal Mesh Procedure: Evaluation in 300 Patients with Pelvic Organ Prolapse,” International Journal of Urology, Vol. 16, No. 3, 2009, 314-317. doi:10.1111/j.1442-2042.2008.02249.x

[6]   S. Takahashi, D. Obinata, T. Sakuma, et al., “TensionFree Vaginal Mesh Procedure for Pelvic Organ Prolapse: A Single-Center Experience of 310 Cases with 1-Year Follow up,” International Journal of Urology, Vol. 17, No. 4, 2010, pp. 353-358. doi:10.1111/j.1442-2042.2010.02469.x

[7]   H. Kobayashi, N. Sawada, S. Kira, et al., “Intraoperative Fluoroscopic Monitoring during TVM Surgery: Safer Procedure Even for Beginners,” Open Journal of Urology, Vol. 2, 2012, pp. 72-74. doi:10.4236/oju.2012.22012

[8]   H. Abed, D. D. Rahn, L. Lowenstein, et al., “Incidence and Management of Graft Erosion, Wound Granulation, and Dyspareunia Following Vaginal Prolapse Repair with Graft Materials: A Systematic Review,” International Urogynecology Journal, Vol. 22, No. 7, 2011, pp. 789-798. doi:10.1007/s00192-011-1384-5

 
 
Top