title: [Transvaginal repair of genital prolapse using a light-weight mesh by the vaginal route].
abstract: OBJECTIVE
  To evaluate the results associated with the transvaginal repair of genital prolapse using a tension free light-weight polypropylene mesh.
  
  
  METHODS
  One hundred and fifteen patients have been treated in a single centre. Pre-operative and operative data and complications were recorded. Patients were examined at 1, 6 and 12 months. Anatomical failure was defined as follows: Pelvic Organ Prolapse Quantification (POP-Q) stage II or more.
  
  
  RESULTS
  Seventy-seven (67%) patients completed 6 months follow-up and 45 (39%) patients completed 12 months follow-up. Finally, 70 (61%) patients were lost to follow-up, including 2 deaths (not related to surgery). Mean age was 66 years. All patients were treated with an anterior and apical and 20 patients were additionally treated with a posterior mesh. Among the 77 patients who completed 6 months follow-up, the complications reported were: 2 (2%) bladder injuries, 1 (1%) hematoma, 1 (1%) bleeding>200 mL and 1 (1%) vaginal mesh exposure. At one year, 6 (7%) patients suffered from urinary stress incontinence, 5 (4%) suffered from urgency and 4 (5%) had dyspareunia. Among the 45 patients who completed 12 months follow-up, functional success was 95% and anatomical success was 77%.
  
  
  CONCLUSIONS
  In this series, the placement of a light-weight transvaginal polypropylene mesh was associated with good functional results and a moderate prevalence of complications.
  
  
  METHODS
  4.
authors.affiliation: Service gynécologie, clinique mutualiste Beausoleil, 119, avenue de Lodève, 34070 Montpellier, France. Electronic address: nicolas.korahanis@gmail.com.
authors.forename: N
authors.initials: N
authors.lastname: Korahanis
authors.affiliation: Service gynécologie, clinique mutualiste Beausoleil, 119, avenue de Lodève, 34070 Montpellier, France.
authors.forename: A
authors.initials: A
authors.lastname: Goron
authors.affiliation: Service gynécologie, clinique mutualiste Beausoleil, 119, avenue de Lodève, 34070 Montpellier, France.
authors.forename: C
authors.initials: C
authors.lastname: Farache
authors.affiliation: Service gynécologie, clinique mutualiste Beausoleil, 119, avenue de Lodève, 34070 Montpellier, France.
authors.forename: L
authors.initials: L
authors.lastname: Panel
authors.affiliation: Service gynécologie, clinique mutualiste Beausoleil, 119, avenue de Lodève, 34070 Montpellier, France.
authors.forename: C
authors.initials: C
authors.lastname: Courtieu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011126:Polypropylenes; D011183:Postoperative Complications; D012189:Retrospective Studies; D013526:Surgical Mesh
chemical_list: D011126:Polypropylenes
keywords: Cystocele; Cystocèle; Genital prolapse; Light-weight polypropylene mesh; Mèche de polypropylène; Polypropylene transvaginal mesh; Prolapsus génital; Prothèse légère; Rectocele; Rectocèle