title: Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse.
abstract: To retrospectively analyze the outcome of surgery in women followed up for 1 year after vaginal repair with the Apogee (support of posterior vaginal wall) or Perigee (support of anterior vaginal wall) system. A total of 120 patients with recurrent cystocele and/or rectocele or with combined vaginal vault prolapse were treated by either posterior or anterior mesh interposition depending on the defect. Follow-up after 1 year (+/-31 days) comprised a vaginal examination with prolapse grading using the POP-Q system, measurement of vaginal length, evaluation of the vaginal mucosa, and exploration for mesh erosions. Postoperatively, 112 (93%) women were free of vaginal prolapse, whereas 8 (7%) had level 2 defects. Erosions occurred significantly more often (p = 0.042) in patients treated with the Perigee system. Our results suggest that the Apogee and Perigee repair systems (monofilament polypropylene mesh) yield excellent short-term results after 1 year.
authors.affiliation: Department of Urogynecology, German Pelvic Floor Center, St. Hedwig Hospital, Grosse Hamburger Str. 5-11, 10115 Berlin, Germany. a.gauruder@alexius.de
authors.forename: A
authors.initials: A
authors.lastname: Gauruder-Burmester
authors.forename: P
authors.initials: P
authors.lastname: Koutouzidou
authors.forename: J
authors.initials: J
authors.lastname: Rohne
authors.forename: M
authors.initials: M
authors.lastname: Gronewold
authors.forename: R
authors.initials: R
authors.lastname: Tunn
mesh_terms: D000368:Aged; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D011126:Polypropylenes; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000009:adverse effects; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*
chemical_list: D011126:Polypropylenes