title: Anterior colporrhaphy reinforced with Marlex mesh for the treatment of cystoceles.
abstract: This study assesses the use of Marlex mesh in conjunction with anterior colporrhaphy for the correction of cystocele with or without urinary stress incontinence. A retrospective review was carried out of 12 years' experience with 142 patients undergoing a modified anterior colporrhaphy reinforced with Marlex mesh. All patients had preoperative urodynamics. Pre- and postoperative symptoms were compared and patients were examined for recurrent prolapse and mesh complications. Mean follow-up time was 3.2 years. No patients experienced recurrent anterior vaginal wall prolapse. Three patients developed mesh erosions into the vagina. There was a 74% success rate in the treatment of urinary stress incontinence. Marlex mesh used as a reinforcement for anterior colporrhaphy is effective in preventing recurrent anterior wall descent, with minimal complications.
authors.affiliation: Urogynecology and Urodynamic Investigative Unit, Mount Sinai Hospital, Toronto, Ontario, Canada.
authors.forename: C G
authors.initials: CG
authors.lastname: Flood
authors.forename: H P
authors.initials: HP
authors.lastname: Drutz
authors.forename: L
authors.initials: L
authors.lastname: Waja
mesh_terms: D000368:Aged; D001672:Biocompatible Materials; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011095:Polyethylenes; D011126:Polypropylenes; D012086:Reoperation; D012189:Retrospective Studies; D013526:Surgical Mesh; D013997:Time Factors; D001745:Urinary Bladder Diseases / Q000601:surgery*; D014596:Uterine Prolapse / Q000517:prevention & control / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
chemical_list: D001672:Biocompatible Materials; C016674:Plastipore; D011095:Polyethylenes; D011126:Polypropylenes