[Advanced mesh implants for vaginal pelvic floor reconstruction: report of 100 prolift operations].
BACKGROUND
While attending to women presenting with pelvic floor relaxation and pelvic organ prolapse, both with intact uterus or after hysterectomy, urogynecologists are constantly looking for simple, safe and effective ways to cure this supportive pelvic floor defect. A novel surgical technique, the Prolift mesh operation, was reported recently entailing both a high therapeutic rate and a low complication rate.


OBJECTIVE
To evaluate the preliminary data of first 100 Prolift patients' series.


METHODS
A total of 100 patients with advanced pelvic floor supportive defects and pelvic organ prolapse underwent the Prolift operation.


RESULTS
The Prolift procedure does not require laparotomy. Intra-operative and post operative complications were recorded. Hospitalization period was relatively short. All patients but five (5%) reported satisfaction with the therapeutic results. Three patients had bladder penetration and were treated with surgical closure at the same session, three patients had tape protrusion that was removed successfully at the outpatient clinic and one patient had therapeutic failure.


CONCLUSIONS
The Prolift is a novel operation, designed to cure advanced pelvic floor relaxation, reduce complication rate and rehabilitation period. The results of this series agree with previously reported efficacy, safety and simplicity of this procedure. However, more long-term data is required for drawing solid conclusions concerning the superiority of the discussed operative technique.
Neuman
Menahem
M
Urogynecology, Department of Gynecology, Shaare Zedek, the Ben-Gurion University of the Negev. mneuman@netvision.net.il
Friedman
Michael
M
D000368:Aged; D004867:Equipment Design; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D008875:Middle Aged; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000209:etiology / Q000601:surgery*; D014621:Vagina / Q000601:surgery*