Peer-reviewed veterinary case report
Outcomes 1 year after uterine prolapse surgery with two mesh types
By Chang YT et al.·2026·Department of Obstetrics and Gynecology·View original on Europe PMC →
PetCaseFinder translated the abstract of this peer-reviewed paper into plain English so pet owners can read it. We do not publish original research — every detail traces back to the citation above. How we work →
Original publication title: Comparison of 1-year outcomes after uterine-preserving laparoscopic pectopexy using an inverted T-shaped mesh versus the horizontal DynaMesh: A retrospective, multicenter cohort study.
Plain-English summary
This study looked at two different surgical methods for treating advanced pelvic organ prolapse in women, specifically focusing on whether the type of mesh used affects the results. Eighty-four women participated, with half receiving a new technique using an inverted T-shaped mesh and the other half getting a more traditional method with horizontal mesh. Both groups showed significant improvement in their condition after one year, with high rates of successful outcomes. However, those who had the new technique experienced more blood loss, pain, and longer recovery times. Overall, both surgical methods were found to be safe and effective, but certain factors like damage to a pelvic muscle and chronic constipation could increase the chances of the prolapse coming back.
Abstract
<h4>Objective</h4>This study evaluates the safety and efficacy of uterine-preserving laparoscopic pectopexy (LP) and assesses whether anterior mesh extension influences surgical outcomes.<h4>Methods</h4>Eighty-four patients with advanced pelvic organ prolapse (POP-Q stage ≥2) were studied. Forty-two patients with advanced uterine and anterior vaginal prolapse underwent an innovative LP using an inverted T-shaped mesh (LP-T). The other 42 patients, with predominant uterine prolapse, received conventional LP using the horizontal DynaMesh (LP-D).<h4>Results</h4>Preoperatively, patient characteristics were comparable except for significantly higher stages of uterine and anterior vaginal prolapse in the LP-T group (P < 0.05). Perioperative outcomes were similar, except for significantly greater blood loss, higher pain scores, longer operating time, Foley catheter duration, and hospital stay in the LP-T group (P < 0.05). At 1 year, POP-Q stages and parameters improved significantly after both procedures, with satisfactory rates of anatomic cure (POP-Q stage <2) in the anterior (90.2% vs 92.9%), middle (80.5% vs 83.3%), and posterior (95.1% vs 97.6%) compartments (P > 0.05). Recurrent uterine prolapse was the most common site of prolapse recurrence. Both approaches yielded favorable functional outcomes, and overall surgical complication rates were low. Logistic regression identified two significant risk factors for recurrence: levator ani muscle avulsion (odds ratio [OR] 13.47, P = 0.002) and chronic constipation (OR 4.58, P = 0.03).<h4>Conclusion</h4>Our results suggest that both LP procedures are safe and effective. Levator ani avulsion and chronic constipation were found to significantly influence prolapse recurrence.
Find similar cases for your pet
PetCaseFinder finds other peer-reviewed reports of pets with the same symptoms, plus a plain-English summary of what was tried across them.
Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41738166