Tension free monofilament macropore polypropylene mesh (Gynemesh PS) in female genital prolapse repair.
OBJECTIVE
To review intraoperative and postoperative complications associated to the correction of cystocele and rectocele with polypropylene mesh macropore monofilament (Gynemesh PS) using transvaginal free tension technique.


METHODS
Prospective study of patients that have been submitted to correction of cystocele and/or rectocele between November 2004 and August 2005 in the Urogynecology and Vaginal Surgery Unit of Gynecology and Obstetrics Department, Las Condes Clinic. Mesh was used in 31 patients: 9 for cystocele, 11 for rectocele, and 11 for concomitant meshes. Total mesh used 42. Media age 55 years old, weight 64 kilograms. In 7 patients we used a third mesh for correction of urinary incontinence by TVT-O technique.


RESULTS
They did not present intraoperative complications, neither in immediate or delayed postoperative time. We did not observe hematoma, infection, erosion or exposition mesh. Healing of cystocele and rectocele was obtained in 100% of patients, with a pursuit between 1 and 8 months.


CONCLUSIONS
The use of prosthetic polypropylene monofilament macropore mesh in the correction of cystocele and/or rectocele, by transvaginal route with tension free technique seems to be a safe and effective surgery procedure.
Sola
Vicente
V
Urogynecology and Vaginal Surgery Unit, Gynecology and Obstetrics Department, Las Condes Clinic, Chile University Clinical Campus, Santiago, Chile. vsola@vtr.net
Pardo
Jack
J
Ricci
Paolo
P
Guiloff
Enrique
E
D052858:Cystocele / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011446:Prospective Studies; D020047:Rectocele / Q000601:surgery*; D012720:Severity of Illness Index; D013526:Surgical Mesh; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*
D011126:Polypropylenes