[Surgery for genitourinary prolapse: prosthesis or no prosthesis?].
In view of the limits of traditional surgery in the restoration of a normal vaginal anatomy and function in genitourinary prolapse, the use of either of synthetic, or more recently biological prosthetic materials, appears to be a necessity. Among synthetic materials, a macroporous net made of a wide mesh of knitted polypropylene monofilaments is currently the reference product for prosthetic surgery of urogenital prolapsus, laparoscopic promontofixation, but also, for the treatment of the cystoceles by the endovaginal route. Materials of human origin are apparently more flexible and the first results seem to show reduced erosion rate, but longer follow-up is required to specify their role in routine practice.
Ballanger
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Service d'urologie, CHU hôpital Pellegrin Tondu, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France. philippe.ballanger@chu-bordeaux.fr
D005260:Female; D052776:Female Urogenital Diseases / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D011391:Prolapse; D019736:Prostheses and Implants; D013520:Urologic Surgical Procedures / Q000379:methods; D014596:Uterine Prolapse / Q000601:surgery*