关键词: 经阴道植入网片, 经阴道自体组织修补, 盆腔器官脱垂, 并发症

Abstract: The aim of this commentary is to compare the clinical outcomes between transvaginal mesh（TVM）and vaginal native tissue repair（VNTR）for pelvic organ prolapsed（POP）in the literatures published recently.The results are as follows：（1）Clavien-Dindo classifications to assess the perioperative and short-term  serious complications of TVM and VNTR groups have shown that the early serious complicatios are rare in TVM group and TVM is as safe as VNTR.（2）Comparing the objective and subjective outcomes，recurrence rates，mesh weight and changes in sexual function between two groups of TVM and VNTR in near and medium-term follow-up，except one study，most studies have shown that TVM group is lower than VNTR group in terms of awareness of prolapse after operation，recurrence rates of anterior prolapse and repeat surgery rates.The specific complications caused by TVM has increased the repeat surgery rates，but the overall repeat surgery rates were of no significant difference  between the two groups.The low weight mesh has shown less complication than the heavy mesh.Dysparenia could  result from both TVM and VNTR groups and there was no significant difference  between the two groups.（3）Comparing the long-term outcomes after POP repair between the two groups，TVM  group has better  objective and subjective outcomes and satisfaction rates in anterior and multicompartment prolapse than VNTR group，and the anatomical recurrence rates are reduced.The study results indicate TVM is a safe and efficient option for POP surgical management.Low rates of mesh conmplications can be achieved with appropriate indications and trained surgeons.

Key words: transvaginal mesh, TVM；vaginal native tissue repair, VNTR；pelvic organ prolapsed, POP；complications