title: Symptom resolution and sexual function after anterior vaginal wall repair with or without polypropylene mesh.
abstract: To evaluate whether symptom resolution and sexual function is better after reinforcement with polypropylene mesh than with traditional anterior repair. Ninety-seven patients were randomized to anterior colporrhaphy and 105 to an operation with mesh. Participants were evaluated up to 24 months by physical examination, standard questions, and questionnaire. The overall symptom rate did not differ between the groups, but a sensation of vaginal bulge was reported less frequently in the mesh group, the figures being 17 versus 5 (p = 0.003). The recurrence rate for the no-mesh group was 41% and for the mesh group 11% (p < 0.001). The dyspareunia score was statistically significantly lower in the mesh group (p = 0.015). The mesh exposure rate was 8%. Sensation of vaginal bulge was relieved more efficiently by the mesh technique without causing dyspareunia.
authors: Department of Obstetrics and Gynecology, Tampere University Hospital, P.O. Box 2000, 33521, Tampere, Finland. kari.t.nieminen@uta.fi
authors: Kari
authors: K
authors: Nieminen
authors: Reijo
authors: R
authors: Hiltunen
authors: Eila
authors: E
authors: Heiskanen
authors: Teuvo
authors: T
authors: Takala
authors: Kirsti
authors: K
authors: Niemi
authors: Mauri
authors: M
authors: Merikari
authors: Pentti K
authors: PK
authors: Heinonen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004414:Dyspareunia / Q000453:epidemiology / Q000517:prevention & control; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D012725:Sexual Behavior; D013526:Surgical Mesh; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*
chemical_list: D011126:Polypropylenes