[Three-way prosthetic repair of the pelvic floor].
We describe the triple operation for prolapse with prosthesis in patients with pelvic organ prolapse using a vesicovaginal mesh for the cystocele, a rectovaginal mesh for the rectocele and a posterior retro-and trans levatory vault suspension sling. Preliminary results in a consecutive series of 92 patients who underwent surgery between June 2001 and December 2002 showed three cases of vaginal erosion in contact with the prosthetic material, and one hematoma of the pararectal fossa with secondary abscess formation requiring ablation of the implant. There was one immediate anatomic failure. Function was good with no reports of dyspareunia or dyschesia.
Service de Gynécologie, Obstétrique et Biologie de la Reproduction, CHU de Caen, 14033 Caen Cedex. vontheobald-p@chu-caen.fr
P
P
von Theobald
E
E
Labbé
D000038:Abscess / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006406:Hematoma / Q000209:etiology; D006801:Humans; D017773:Pelvic Floor / Q000601:surgery*; D011126:Polypropylenes; D012002:Rectal Diseases / Q000209:etiology; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014623:Vaginal Diseases / Q000209:etiology
D011126:Polypropylenes