Transvaginal repair of genital prolapse with polypropylene mesh using a tension-free technique.
OBJECTIVE
To assess the perioperative complications and short-term outcomes of prolapse repair using transvaginal polypropylene mesh.


METHODS
Retrospective study. In the period from April 2007 to September 2009, 67 women underwent vaginal repair with implantation of a soft mesh manufactured by Gynecare.


RESULTS
All the patients had a stage 3 or stage 4 prolapse. Total mesh was used in eight patients (11.9%), isolated anterior mesh in 36 patients (53.7%) and isolated posterior mesh in 23 patients (34.4%). We reported one intraoperative bladder injury and no other serious complications. At 3 months, all the 67 patients were available for follow-up. Vaginal erosion occurred in eight patients (11.9%), shrinkage of mesh in six patients (8.7%), granuloma without exposure in four patients (5.9%), de novo urinary incontinence in three patients (4.5%) and flatus incontinence in one patient (1.5%). Failure rate was 7.5% (recurrent prolapse stage 3 or 4, even asymptomatic).


CONCLUSIONS
Our study suggests that transvaginal polypropylene mesh applied with a tension-free technique is a safe and effective method with low intraoperative complications but with considerable potential postoperative morbidity.
Argirovic
Rajka B
RB
Department of Postoperative Care, Institute for Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Serbia.
Gudovic
Aleksandra M
AM
Babovic
Ivana R
IR
Berisavac
Milica V
MV
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications / Q000209:etiology; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina
D011126:Polypropylenes