Implants in operative therapy in women with pelvic organ prolapse--two years of experience.
OBJECTIVE
The authors present their first experience with a new operative method (within two years' period in 18 patients) solving pelvic prolapse in women by means of installation of polypropylene (Prolene) mesh implant.


METHODS
The authors corrected various forms and stages of POP, particularly prolapse of the vaginal stump after hysterectomy, through the installation of Prolene mesh implants or the systems Prolift Anterior, Prolift Posterior and Prolift Total.


RESULTS
Short-term results (follow-up 24 months) are promising. The patients present no significant subjective complaints and the objective findings are considerably improved. The authors report one particular case of point perforation of the urinary bladder with no side effects and they have not noticed any serious postoperative complications so far.


CONCLUSIONS
Nowadays, considering a new methodology the following factors are required: multicentre data collection, determination of rational indicating criteria (together with contraindications), analysis of per- and postoperative complications and publishing continuous clinical outcomes. This is the way how to find an adequate place for implants in a wide spectrum of operations regarding pelvic floor repair (Tab. 4, Fig. 5, Ref. 13). Full Text (Free, PDF) www.bmj.sk.
Holly
I
I
2nd Department of Gynaecology and Obstetrics, Faculty of Medicine, Comenius University and Faculty Hospital, Ruzinov, Bratislava, Slovakia. holly@ruzinov.fnspba.sk
Papcun
P
P
Ferianec
V
V
Holoman
K
K
D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011126:Polypropylenes; D019736:Prostheses and Implants
D011126:Polypropylenes