Abstract | OBJECTIVES: To assess the perioperative complications and short-term outcomes of prolapse repair using transvaginal polypropylene mesh. STUDY DESIGN: Retrospective study. In the period from April 2007 to September 2009, 67 women underwent vaginal repair with implantation of a soft mesh manufactured by Gynecare. RESULTS: All the patients had a stage 3 or stage 4 prolapse. Total mesh was used in eight patients (11.9%), isolated anterior mesh in 36 patients (53.7%) and isolated posterior mesh in 23 patients (34.4%). We reported one intraoperative bladder injury and no other serious complications. At 3 months, all the 67 patients were available for follow-up. Vaginal erosion occurred in eight patients (11.9%), shrinkage of mesh in six patients (8.7%), granuloma without exposure in four patients (5.9%), de novo urinary incontinence in three patients (4.5%) and flatus incontinence in one patient (1.5%). Failure rate was 7.5% (recurrent prolapse stage 3 or 4, even asymptomatic). CONCLUSION: Our study suggests that transvaginal polypropylene mesh applied with a tension-free technique is a safe and effective method with low intraoperative complications but with considerable potential postoperative morbidity.
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Authors | Rajka B Argirovic, Aleksandra M Gudovic, Ivana R Babovic, Milica V Berisavac |
Journal | European journal of obstetrics, gynecology, and reproductive biology
(Eur J Obstet Gynecol Reprod Biol)
Vol. 153
Issue 1
Pg. 104-7
(Nov 2010)
ISSN: 1872-7654 [Electronic] Ireland |
PMID | 20674141
(Publication Type: Journal Article)
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Copyright | Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Dyspareunia
(etiology)
- Female
- Gynecologic Surgical Procedures
(adverse effects, methods)
- Humans
- Middle Aged
- Polypropylenes
- Postoperative Complications
(etiology)
- Surgical Mesh
- Uterine Prolapse
(surgery)
- Vagina
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