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10.3390/jcm13040987
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Article

Trends in Urogynecology—Transvaginal Mesh Surgery in Germany

by
Yaman Degirmenci
*,
Kathrin Stewen
,
Anna Dionysopoulou
,
Lina Judit Schiestl
,
Konstantin Hofmann
,
Christine Skala
,
Annette Hasenburg
and
Roxana Schwab
Department of Gynecology and Obstetrics, University Medical Center of the Johannes Gutenberg University, 55131 Mainz, Germany
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(4), 987; https://doi.org/10.3390/jcm13040987
Submission received: 19 December 2023 / Revised: 23 January 2024 / Accepted: 7 February 2024 / Published: 8 February 2024
(This article belongs to the Special Issue Current Trends in Urogynecology: Part II)
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Abstract

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 < 0.001, enterocele surgery: p < 0.001). A subtle increasing trend was observed for uterine-preserving transvaginal mesh surgery (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.
Keywords: native tissue repair; pelvic organ prolapse; transvaginal mesh surgery; cystocele; rectocele native tissue repair; pelvic organ prolapse; transvaginal mesh surgery; cystocele; rectocele
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MDPI and ACS Style

Degirmenci, Y.; Stewen, K.; Dionysopoulou, A.; Schiestl, L.J.; Hofmann, K.; Skala, C.; Hasenburg, A.; Schwab, R. Trends in Urogynecology—Transvaginal Mesh Surgery in Germany. J. Clin. Med. 2024, 13, 987. https://doi.org/10.3390/jcm13040987

AMA Style

Degirmenci Y, Stewen K, Dionysopoulou A, Schiestl LJ, Hofmann K, Skala C, Hasenburg A, Schwab R. Trends in Urogynecology—Transvaginal Mesh Surgery in Germany. Journal of Clinical Medicine. 2024; 13(4):987. https://doi.org/10.3390/jcm13040987

Chicago/Turabian Style

Degirmenci, Yaman, Kathrin Stewen, Anna Dionysopoulou, Lina Judit Schiestl, Konstantin Hofmann, Christine Skala, Annette Hasenburg, and Roxana Schwab. 2024. "Trends in Urogynecology—Transvaginal Mesh Surgery in Germany" Journal of Clinical Medicine 13, no. 4: 987. https://doi.org/10.3390/jcm13040987

APA Style

Degirmenci, Y., Stewen, K., Dionysopoulou, A., Schiestl, L. J., Hofmann, K., Skala, C., Hasenburg, A., & Schwab, R. (2024). Trends in Urogynecology—Transvaginal Mesh Surgery in Germany. Journal of Clinical Medicine, 13(4), 987. https://doi.org/10.3390/jcm13040987

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