title: Prosthetic materials for treating posterior vaginal wall prolapse and rectocele - own experience.
abstract: This report describes results of posterior vaginal wall prolapse and rectocele treatment performing tension free reconstruction method with polypropylene mesh implantation.
  
  
  
  In years 2001 to 20015, 71 female patients in age of 42-82 years were surgically treated. Besides difficult emptying they complained of feeling of heaviness in the pelvis (38%) and dyspareunia (16.9%). Defecography and magnetic resonance proved the presence of rectocele in 84.5%, enterocele in 38%, descending perineum in 28.2%, genital organ prolapse in 23.9%, and rectal prolapse in 22.5% cases. 37 patients with defects of low location have undergone implantation of prosthetic material from vaginal approach. In cases of high location and genital organ prolapse abdominal approach was done.
  
  
  
  Permanent reconstruction of the rectovaginal septum has been achieved in 70 patients (98%). Symptoms of dyschesia, pelvic plain, heavy straining were persisted in 4 patients (10.3%). 3 cases of mash erosions were diagnosed. One patient was reoperated. Among 6 other patients who needed futher surgical treatment only one was reoperated because of vaginal prolapse. 81.7% of patients was satisfied with their treatment.
  
  
  
  Using prosthetic materials in pelvic floor defects treatment is characterized by high efficacy and low complication percentage.
authors.affiliation: H. Swiecicki Clinical Hospital, Poznan, Poland. honoratastadnik@wp.pl.
authors.forename: Honorata
authors.initials: H
authors.lastname: Stadnik
authors.forename: Tomasz Maciej
authors.initials: TM
authors.lastname: Kościński
mesh_terms: D000328:Adult; D000368:Aged; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery; D010502:Perineum / Q000601:surgery; D011126:Polypropylenes; D020047:Rectocele / Q000601:surgery*; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*
chemical_list: D011126:Polypropylenes
keywords: pelvic fascia anatomical defects; rectocele; using prosthetic materials