The Tfs Mini-Sling For Uterine/Vault Prolapse Repair: A Three-Year Follow-Up Review

Aims: To assess the three-year prolapse recurrence rate of the tissue fixation system (TFS) posterior mini-sling, an operation that works much like a McCall procedure.Patients and methods: Patients who originally presented with major symptomatic prolapse were contacted by telephone three years after a posterior TFS mini-sling operation, and invited to attend for review. All patients were questioned as to recurrence of any lumps, 'dragging pain', satisfaction with the procedure and existence of any vaginal discharge.Results: Of the original group of 39 patients, 35 were interviewed, 22 attended for review and four patients were uncontactable. Symptomatic cure was reported by 30 patients (86%), improvement in two (6%), and failure in three (9%).Conclusions: The longer-term results from the TFS posterior sling are encouraging. The procedure is evolving, and more studies are required.