The efficacy of Marlex mesh in the repair of severe, recurrent vaginal prolapse of the anterior midvaginal wall.
OBJECTIVE
The study assesses the efficacy and complications of Marlex mesh in repairing severe recurrent anterior vaginal wall prolapse.


METHODS
Twenty-four patients with two or more postsurgical recurrences of severe anterior vaginal wall prolapse were divided into control and treatment groups. Transvaginal repair was similar between groups except for reinforcement of the anterior vaginal wall with synthetic mesh. Two examiners graded preoperative and postoperative support over the following 2 years (K = 0.9). Fisher's exact test, log-linear analysis, and analysis of variance were used to compare categoric and continuous variables.


RESULTS
Four patients in the control group and none in the treatment group had recurrent anterior vaginal wall prolapse (p < 0.05). Three patients had mesh-related complications.


CONCLUSIONS
Repair with a synthetic mesh decreased the expected incidence of severe recurrent anterior vaginal prolapse but was associated with common complications related to synthetic mesh. Mesh reinforcement is an effective treatment for severe recurrent prolapse of the anterior midvaginal wall.
Julian
T M
TM
Department of Obstetrics and Gynecology, University of Wisconsin Medical School, Madison, USA.
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*
D011126:Polypropylenes