Laparoscopic sacrocolpopexy: a comparison of Prolene® and Tutoplast® mesh

Abstract

A retrospective study was carried out to evaluate which mesh (cadaveric fascia lata (Tutoplast®) or Prolene® mesh) is associated with the best outcome of laparoscopic sacrocolpopexy for vaginal vault prolapse. Nineteen women who had surgery with Tutoplast® and 20 who underwent surgery with Prolene® were followed and asked to complete the Urogenital Distress Inventory and Defecation Distress Inventory to measure disease-specific quality of life. The women were invited for a follow-up visit for pelvic examination at a mean time of 45 months. There were no significant differences in operating time, blood loss or hospital stay between the groups. The risk of re-intervention because of recurrent prolapse was higher in the Tutoplast® group than in the Prolene® group (relative risk 2.9 (95% Confidence interval 0.9–9.5)). Women in the Prolene® group were significantly more satisfied with the operative result.