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Peer-reviewed veterinary case report

Dog surgery for pelvic organ prolapse - what to expect?

By Beer F et al.·2026·University Hospital Ulm Clinic for Gynaecology and Obstetrics, Germany·View original on Europe PMC

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Original publication title: Outcomes and patient satisfaction after pelvic organ prolapse surgery with and without mesh: a retrospective cohort study with prospective follow-up.

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Plain-English summary

This study looked at how satisfied patients were after having surgery for pelvic organ prolapse (POP), which is when pelvic organs drop down. It compared three types of surgery done between 2014 and 2021: one using natural tissue, one using mesh, and one done laparoscopically (through small incisions). Out of 782 patients, 297 were included in the analysis, and they all reported high satisfaction levels, with no major differences between the groups. The only significant complication noted was mesh erosion, which happened in about 13% of those who had mesh surgery compared to 2% for the laparoscopic approach, but this did not seem to affect overall satisfaction. Overall, patients were happy with their surgery results, regardless of the method used.

Abstract

<h4>Purpose</h4>This retrospective cohort study with prospective follow-up evaluates patient satisfaction and complication rates following pelvic organ prolapse (POP) surgery, comparing three surgical approaches: transvaginal native tissue repair, transvaginal mesh repair, and laparoscopic sacrocolpopexy.<h4>Methods</h4>Long-term satisfaction and postoperative complications of patients who underwent POP surgery between 2014 and 2021 at the University Women's Hospital of Ulm were assessed via structured telephone interviews. Patient satisfaction was evaluated using the validated Freiburg Index of Patient Satisfaction (FIPS) questionnaire.<h4>Results</h4>Of 782 patients with POP surgery, 297 patients with primary surgeries at our clinic were included in the analysis. Patients of all three groups were highly satisfied according to FIPS with no significant difference (p = 0.058). Complication rate also did not differ significantly between the groups except for mesh erosions with 12.9% for transvaginal mesh repair and 2.0% for sacrocolpopexy (p = 0.027). Adverse events as pain, voiding difficulty, overactive bladder (OAB), and recurrence of POP requiring operative treatment had a significant impact on the satisfaction rate of patients.<h4>Conclusion</h4>Patients of all three surgical approaches reported high satisfaction following POP surgery. Complication rate did not differ significantly except for mesh erosions. However, mesh erosions did not significantly impact patient satisfaction.<h4>Trail registration</h4>The trial was registered in the German Clinical Trials Register (DRKS00031971) on 1 June 2023.

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Original publication on Europe PMC: https://europepmc.org/article/MED/41790145