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].