Success Rate of Transobturator Paravaginal Repair for Pelvic Organ Prolapse
Issued Date
2026-04-01
Resource Type
ISSN
13418076
eISSN
14470756
Scopus ID
2-s2.0-105034885118
Journal Title
Journal of Obstetrics and Gynaecology Research
Volume
52
Issue
4
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Obstetrics and Gynaecology Research Vol.52 No.4 (2026)
Suggested Citation
Leerasiri P., Charoonwatana T., Hengrasmee P., Asumpinwong C. Success Rate of Transobturator Paravaginal Repair for Pelvic Organ Prolapse. Journal of Obstetrics and Gynaecology Research Vol.52 No.4 (2026). doi:10.1111/jog.70259 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/116150
Title
Success Rate of Transobturator Paravaginal Repair for Pelvic Organ Prolapse
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Corresponding Author(s)
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Abstract
Aim: To evaluate the short-term anatomical and functional outcomes of transobturator paravaginal repair in women with pelvic organ prolapse (POP). Methods: A retrospective cohort study was conducted in 42 patients with stage 3 or higher cystocele and paravaginal defects treated between 2023 and 2024. The procedure was performed using the Siriraj Urogynecology Mesh Kit trocar set without any mesh material. The primary outcome was anatomical success (POP-Q Ba ≤ 0) at 6 months postoperatively. Secondary outcomes included perioperative data, complications, and short-term morbidity, which were recorded and analyzed. Results: Forty-two patients were enrolled. Mean age was 68.71 ± 9.20 years. The anatomical success rate at 6 months was 83.3% for the anterior compartment (95% CI: 68.6–93.0) and 92.0% for the apical compartment (95% CI: 83.8–99.4) at 6 months postoperatively. Mean ICIQ-VS scores improved from 23.2 ± 8.9 to 7.1 ± 8.3 (p < 0.001), and quality-of-life scores improved from 7.0 ± 2.8 to 1.1 ± 2.5 (p < 0.001). POP-Q points Ba and C showed significant improvement (p < 0.001). Higher BMI and advanced POP stage were significantly associated with recurrence. Conclusions: Transobturator paravaginal repair demonstrated favorable short-term anatomical outcomes for both anterior and apical compartments with minimal morbidity. Although these early results are promising, longer follow-up is necessary to confirm long-term durability and recurrence rates.