Review Article
The Role of Vaginal Mesh Procedures in Pelvic Organ Prolapse Surgery in View of Complication Risk
Table 2
Factors to consider for vaginal mesh use in pelvic organ prolapse surgery.
| Variable | Likely benefit | Possible benefit | Unlikely benefit | Not recommended |
| Age | | | | | <50 years | | | ● | | ≥50 years | | ● | | | Recurrent (same site) | | ● | | | Cystocele/anterior compartment | | | | | ≥Stage 2 | | ● | | | ≤Stage 2 | | | | ● | Posterior compartment | | | ● | | Apex (vault, cuff, and cervix) | | ● | | | Deficient fascia | | ● | | | Chronic increase intra-abdominal pressure | | ● | | | Pain syndromes (local/systemic) | | | | ● | Possibility of pregnancy | | | | ● | Combination factors | | | | | Recurrent + cystocele > Stage 2 | ● | | | | Recurrent + posterior compartment | | ● | | | Recurrent + apex/cuff/cervix | ● | | | | Recurrent + increased abdominal pressure | ● | | | | Recurrent + deficient fascia | ● | | | | Cystocele > Stage 2 + increased intra-abdominal pressure | ● | | | | Cystocele > Stage 2 + Deficient fascia | ● | | | |
|
|
Adapted from Davila et al. [20].
|