[Operative treatment of genital prolapse of the female: pros and cons of mesh materials].
The development of different mesh materials has led to an improvement of the individual surgical correction of genital prolapse. Macroporous monofilamentous synthetic meshes seem to be the optimal material in case of recurrent prolapse or of severe insufficiency of the pelvic floor. The use of biological meshes shows a markedly better tolerance with fewer infections or erosions despite the lack of evidence-based information on their long-term efficacy and safety. The surgical correction of genital prolapse has to carefully consider all risks and benefits in order to improve quality of life. In this respect, mesh materials can be particularly advantageous in the recurrent situation.
Naumann
Gert
G
Klinik und Poliklinik für Geburtshilfe und Frauenkrankheiten, Johannes-Gutenberg-Universität, Mainz, Deutschland. gnaumann@uni-mainz.de
Kolbl
Heinz
H
D003238:Connective Tissue / Q000601:surgery; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D017773:Pelvic Floor / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D019919:Prosthesis Implantation / Q000295:instrumentation*; D013526:Surgical Mesh / Q000009:adverse effects; D014596:Uterine Prolapse / Q000209:etiology / Q000601:surgery*