title: [Vaginal mesh exposure after prolapse surgery. A descriptive study of 43 cases: Epidemiology and therapeutic management].
abstract: OBJECTIVE
  To describe the prevalence and time of occurrence of vaginal mesh exposure based on the initial surgical approach of prolaps. To describe their therapeutic management.
  
  
  METHODS
  Descriptive retrospective study of 43 women followed for vaginal mesh exposure diagnosed during a follow-up visit or motivated by symptoms. The initial surgery was performed abdominally (promontofixation) or vaginally. The therapeutic management was carried out by medical and/or surgical (prosthetic resection partial or complete).
  
  
  RESULTS
  The prevalence of vaginal exposure was 7.3% in case of vaginal initial surgery and 2.8% in case of promontofixation initial (P=0.02). Mesh exposure have appeared earlier in case of vaginal initial surgery compared to promontofixation (14.9 months vs. 45.2 months). After vaginal initial surgery, vaginal mesh exposure appeared to third within 6 months postoperatively (9/29). The success rate of medical treatment was 21.4%. In total, 31% of women initially made vaginally and 64.9% of women initially made abdominally required at least two surgeries to get a cure.
  
  
  CONCLUSIONS
  Vaginal mesh exposure may be away from the initial surgery, especially when the first initial surgery was abdominal. The medical treatment of vaginal mesh exposure led to poor results. The overall rate of healing in our experience was good but at the cost of considerable morbidity as a significant proportion of patients required two or more surgical interventions.
authors: Service de chirurgie gynécologique et médecine de la reproduction, centre Aliénor d'Aquitaine, CHU de Bordeaux, université de Bordeaux 2, place Amélie Raba-Léon, 33076 Bordeaux, France. Electronic address: emeline.quiboeuf@chu-bordeaux.fr.
authors: E
authors: E
authors: Quiboeuf
authors: Service de chirurgie gynécologique et médecine de la reproduction, centre Aliénor d'Aquitaine, CHU de Bordeaux, université de Bordeaux 2, place Amélie Raba-Léon, 33076 Bordeaux, France. Electronic address: sandra.nidecker@chu-bordeaux.fr.
authors: S
authors: S
authors: Nidecker
authors: Service d'urologie, CHU de Bordeaux, université de Bordeaux 2, place Amélie Raba-Léon, 33076 Bordeaux, France. Electronic address: philippe.ballanger@chu-bordeaux.fr.
authors: P
authors: P
authors: Ballanger
authors: Service de chirurgie gynécologique et médecine de la reproduction, centre Aliénor d'Aquitaine, CHU de Bordeaux, université de Bordeaux 2, place Amélie Raba-Léon, 33076 Bordeaux, France. Electronic address: claude.hocke@chu-bordeaux.fr.
authors: C
authors: C
authors: Hocké
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000601:surgery*; D011475:Prosthesis Failure; D012189:Retrospective Studies; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
keywords: Diagnosis; Diagnostic; Exposition prothétique vaginale; Prolapse; Prolapsus; Traitement; Treatment; Vaginal erosion