Efficacy and outcome of anterior vaginal wall repair using polypropylene mesh (Gynemesh).
OBJECTIVE
The aim of the present study was to assess the safety and efficacy of anterior vaginal wall repair using polypropylene mesh for the correction of anterior vaginal wall prolapse.


METHODS
From May 2001 to March 2005, 38 patients with cystoceles or uterine prolapse underwent transvaginal repair with implantation of polypropylene mesh. In all 38 patients anterior vaginal wall repair was done concurrently with other procedures: vaginal hysterectomy, n = 18 (47.4%) and tension-free vaginal tapes n = 22 (57.9%).


RESULTS
Preoperatively 26 patients (68.4%) had stage III/IV prolapse on pelvic organ prolapse quantification examination. After mean follow up of 23.4 months, the objective cure rate at 12 and 18 months was 94.5% and 94.3%, respectively. As for complications associated with placement of the polypropylene mesh, no tissue erosion or infection was found.


CONCLUSIONS
Transvaginal implantation of polypropylene mesh is an effective and safe technique for the correction of anterior vaginal wall prolapse.
Jo
Hoenil
H
Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.
Kim
Jae Weon
JW
Park
Noh Hyun
NH
Kang
Soon Beom
SB
Lee
Hyo Pyo
HP
Song
Yong-Sang
YS
D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000601:surgery*
D011126:Polypropylenes