-Case Reports-

Novel Hybrid Mesh Surgery Combines Sacrocolpopexy with Transvaginal Mesh Placement for Pelvic Organ Prolapse

Masao Ichikawa, Shigeo Akira, Katsuya Mine, Nozomi Ohuchi, Nao Iwasaki, Keisuke Kurose and Toshiyuki Takeshita

Division of Reproductive Medicine, Perinatology and Gynecologic Oncology, Graduate School of Medicine, Nippon Medical School
Department of Obstetrics and Gynecology, Nippon Medical School

Mesh surgeries, such as sacrocolpopexy and transvaginal mesh surgery, are commonly used to treat pelvic organ prolapse. Although mesh surgeries have a high success rate, they are unsuitable for some patients. For a patient with pelvic organ prolapse and highly calcified multiple fibroids, we performed hybrid sacrocolpopexy combined with transvaginal mesh surgery with a method modified for the patient's condition. Three months after surgery, the results were highly satisfactory. This approach is simple, secure, and versatile for patients who are not good candidates for conventional mesh surgeries. This novel hybrid mesh surgery is an option for treating various types of pelvic organ prolapse.

J Nippon Med Sch 2011; 78: 379-383

Keywords
pelvic organ prolapse, sacrocolpopexy, transvaginal mesh, cystocele, paravaginal defect, fibroids

Correspondence to
Masao Ichikawa, MD, PhD, Department of Obstetrics and Gynecology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
masai@nms.ac.jp

Received, May 6, 2011
Accepted, May 18, 2011