Journal of Clinical Medicine (Feb 2024)

Trends in Urogynecology—Transvaginal Mesh Surgery in Germany

  • Yaman Degirmenci,
  • Kathrin Stewen,
  • Anna Dionysopoulou,
  • Lina Judit Schiestl,
  • Konstantin Hofmann,
  • Christine Skala,
  • Annette Hasenburg,
  • Roxana Schwab

DOI
https://doi.org/10.3390/jcm13040987
Journal volume & issue
Vol. 13, no. 4
p. 987

Abstract

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Background: Pelvic organ prolapse constitutes a prevalent condition associated with a considerable impact on the quality of life. The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to warnings issued by the FDA. Methods: This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021. A total of 1,150,811 operations, each associated with specific codes, were incorporated into the study. Linear regression analysis was employed to delineate discernible trends. Results: The trends in transvaginal mesh surgery within the anterior compartment exhibited relative stability (p = 0.147); however, a significant decline was noted in all other compartments (posterior: p p p = 0.045). Conclusion: Surgical trends over the specified timeframe demonstrate how POP management has evolved globally. Notably, despite observed fluctuations, transvaginal mesh surgery remains a viable option, particularly for specific cases with a high risk of relapse and contraindications to alternative surgical approaches.

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