A long-term review of posterior colporrhaphy with Vypro 2 mesh.
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.
Lim
Yik Nyok
YN
Department of Urogynecology, Mercy Hospital for Women, 163 Studley Road, Heidelberg, Melbourne, Victoria, 3084, Australia. yik_lim@yahoo.com.au
Muller
Reinhold
R
Corstiaans
Audrey
A
Hitchins
Sarah
S
Barry
Christopher
C
Rane
Ajay
A
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*
D011126:Polypropylenes