[Effectiveness evaluation of polypropylene mesh in the repair of urogenital prolapse in 106 patients].
OBJECTIVE
To evaluate the efficacy and security of polypropylene meshes in the repair of urogenital prolapse.


METHODS
Retrospective and non-randomized study in 106 patients which had different kinds of urogenital prolapse repaired using polypropylene meshes between April 2005 and January 2007. The follow-up was carried out by two visits to the hospital, 2 and 6 months after surgery. The variables analyzed were age, parity, menopause presence, kind of surgical technique, surgical time, time at hospital and complications. Afterwards, the information was analyzed descriptively.


RESULTS
Average age was 64.4 years. The rate of multiparity and menopause women was 91.51% and 92.45% respectively. The most used surgical technique was the anterior mesh with tension-free band (34.90%), to repair the associated urinary incontinence. The rate of intraoperatory complications was 2.83%, immediate complications was 37.73% and late complications was 21.69%. The success rate after 6 months was 80-100% depending on the technique.


CONCLUSIONS
There is a low rate of intraoperatory and 6 months after the repair in the reconstructive surgery of pelvic floor for the urogenital prolapses using polypropylene meshes, which makes this technique a secure and effective option for the treatment of this problem.
Zapardiel Gutiérrez
I
I
Departamento de Obstetricia y Ginecología, Hospital Universitario Santa Cristina, Madrid. ignaciozapardiel@hotmail.com
De la Fuente Valero
J
J
Iniesta Pérez
S
S
Botija Botija
J
J
Pérez Medina
T
T
Bajo Arenas
J M
JM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D052776:Female Urogenital Diseases / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011391:Prolapse; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000009:adverse effects
D011126:Polypropylenes