title: A long-term review of posterior colporrhaphy with Vypro 2 mesh.
abstract: The objective is to study the long-term outcomes of posterior colporrhaphy with composite polyglactin 910-polypropylene mesh (Vypro 2, Ethicon, Somerville, NJ, USA) utilizing an overlay technique. Seventy-eight patients involved in our previous study were contacted 3 years after their initial operation for follow-up (Lim YN, Rane A, Muller R, Int Urogynecol J 16:126-131, 2005). Thirty-seven (47%) returned for follow-up and completed a standardized questionnaire survey, whereas a further 16 (20%) returned their postal questionnaires. Mean age was 61.3 (SD 10.8) years, and follow-up was 35.7 (SD 4.5) months. There were statistically significant improvements in vaginal lump sensation and constipation (p < 0.001) but no differences with defecatory difficulties or dyspareunia. De novo dyspareunia was reported in 27%. On examination, the incidences of mesh vaginal erosion and rectocele recurrence were 30% and 22%, respectively. It appears that posterior colporrhaphy incorporating Vypro 2 mesh with an overlay method is associated with unacceptably high incidence of complications.
authors.affiliation: Department of Urogynecology, Mercy Hospital for Women, 163 Studley Road, Heidelberg, Melbourne, Victoria, 3084, Australia. yik_lim@yahoo.com.au
authors.forename: Yik Nyok
authors.initials: YN
authors.lastname: Lim
authors.forename: Reinhold
authors.initials: R
authors.lastname: Muller
authors.forename: Audrey
authors.initials: A
authors.lastname: Corstiaans
authors.forename: Sarah
authors.initials: S
authors.lastname: Hitchins
authors.forename: Christopher
authors.initials: C
authors.lastname: Barry
authors.forename: Ajay
authors.initials: A
authors.lastname: Rane
mesh_terms: D000368:Aged; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh / Q000009:adverse effects; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000601:surgery*
chemical_list: D011126:Polypropylenes