title: Surgical treatment of vaginal prolapse with Prolift® mesh in patients with risk of recurrence.
abstract: OBJECTIVE
  The aim of this paper is to analyze the results obtained in pelvic floor surgery using a non-absorbable mesh in selected patients  with  risk factors of recurrent prolapse.
  
  
  METHODS
  Case series including a total of 76 patients who were surgically treated for severe genital prolapse from July 2005 to December 2009, with  risk factors for recurrence of genital prolapse.
  
  
  RESULTS
  We detected 3 cases (6.8%) of symptomatic prolapse recurrence and 6 cases (13.6%) of prolapse of another compartment in the anterior Prolift® group. In the posterior Prolift® group there were no recurrences but there were 2 cases  (10.52%)  of prolapse of another compartment. In the total Prolift® group, there were 2 cases (16.6%) of symptomatic  prolapse recurrence. As for de novo urgency, there were a total of 4 cases (5.33%), 3 in the anterior Prolift® group and 1  in the total  Prolift® group. We did not detect any case of severe pain in the pelvis or mesh insertion points that required reoperation due to persistence.
  
  
  CONCLUSIONS
  The use of mesh in pelvic floor reconstructive surgery in selected patients with risk factors for recurrence is a good treatment  option to prevent or attempt to reduce the recurrence or reoperation rates currently described.
authors: Pelvic Floor Unit, Sant Joan de Deu University Hospital, Esplugues de Llobregat, Barcelona, Spain. emartinez@hsjdbcn.es
authors: Eva
authors: E
authors: Martínez-Franco
authors: Lluís
authors: L
authors: Amat-Tardiu
authors: Núria
authors: N
authors: Rodríguez-Mias
authors: Laura
authors: L
authors: Cortés-Laguna
authors: Josep María
authors: JM
authors: Laïlla-Vicens
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery; D012008:Recurrence; D012306:Risk; D013526:Surgical Mesh; D016896:Treatment Outcome; D014546:Urinary Catheterization; D014596:Uterine Prolapse / Q000473:pathology / Q000601:surgery*; D014621:Vagina / Q000473:pathology