title: Pelvic Prolapse Repair in the Era of Mesh.
abstract: Pelvic organ prolapse repair with mesh remains the gold standard for advanced prolapse. There are several surgical approaches available to the pelvic reconstructive surgeon. Prolapse repair can be performed vaginally or abdominally using native tissue or may be augmented with a biologic or mesh patch. In this article, we will review the different approaches to prolapse repair, the role of mesh, and the risks and benefits of each option. Patient selection, surgical technique, and the rationale for using mesh will be explored. Complications from prolapse repair with mesh including dyspareunia, pelvic pain, mesh exposure, and reoperation will be discussed.
authors.affiliation: Female Pelvic Medicine and Reconstructive Surgery Beaumont Health System, Oakland University William Beaumont School of Medicine, 3535 W. 13 Mile Road, Ste. 438, Royal Oak, MI, 48073, USA. Natalie.Gaines@beaumont.edu.
authors.forename: Natalie
authors.initials: N
authors.lastname: Gaines
authors.affiliation: Female Pelvic Medicine and Reconstructive Surgery Beaumont Health System, Oakland University William Beaumont School of Medicine, 3535 W. 13 Mile Road, Ste. 438, Royal Oak, MI, 48073, USA. Priyanka.Gupta@beaumont.edu.
authors.forename: Priyanka
authors.initials: P
authors.lastname: Gupta
authors.affiliation: Female Pelvic Medicine and Reconstructive Surgery Beaumont Health System, Oakland University William Beaumont School of Medicine, 3535 W. 13 Mile Road, Ste. 438, Royal Oak, MI, 48073, USA. Larry.Sirls@beaumont.edu.
authors.forename: Larry T
authors.initials: LT
authors.lastname: Sirls
mesh_terms: D000818:Animals; D006801:Humans; D010535:Laparoscopy; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D017699:Pelvic Pain / Q000209:etiology; D012086:Reoperation; D065287:Robotic Surgical Procedures; D013526:Surgical Mesh / Q000009:adverse effects
keywords: Dyspareunia; Mesh exposure; Pelvic organ prolapse; Sacrocolpopexy; Transvaginal mesh repair