Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse

Abstract

Purpose: To evaluate the efficacy and safety of the tension-free placement of a monofilament polypropylene mesh for the repair of an anterior vaginal wall prolapse (AVWP). Materials and Methods: Women aged ≥ 30 years with an AVWP stage of II or greater were included. Forty-nine women underwent trans-vaginal repair using a Gynemesh TM PS. Forty-six women who had symptomatic stress urinary incontinence received a midurethral sling (MUS). At the 12-month follow-up, evaluations were made for changes in the Pelvic Organ Prolapse Quantification (POP-Q) stage and Pelvic Floor Distress Inventory. Cure was defined as a POP-Q stage of 0 and improvement as a stage of I. Complications were also evaluated. Results: The cure rate was 71.4%, and the improvement rate was 18.4%. Obstructive/discomfort, irritative, and stress subscale scores of the Urinary Distress Inventory anterior and posterior subscale scores of the POP Distress Inventory and the obstructive subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. Thirty-two of the 46 women (69.6%) who received MUS procedures reported no leakage after surgery. Complications were 2 cases of increased intraoperative bleeding and 1 case of vaginal erosion. Conclusions: Trans-vaginal repair using a Gynemesh TM PS is a feasible and effective procedure for the treatment of AVWP with no significant complications.

Long-Lasting Examinations of Surface and Structural Properties of Medical Polypropylene Modified with Silver Nanoparticles

“…Pikaart et al also indicated that polypropylene mesh degradation required removing the sling portion that eroded into the bladder [13]. Whereas, Lee et al convinced that trans-vaginal repair of an anterior vaginal wall prolapse with the monofilament polypropylene mesh is an effective and safe procedure [14]. Achtariet al [15] compared the erosion rates of two prostheses: a polypropylene nonabsorbable, monofilament, macroporous mesh and a composite polypropylene/polyglactin 910, mono/multifilament, absorbable/nonabsorbable mesh.…”

Use of vaginal mesh for pelvic organ prolapse repair: a literature review

“…Paraiso was the only one to report a pelvic abscess after surgery [5]. In 11 non-randomized studies (623 patients), nine of which using NAS meshes, no post-surgical infection was detected [33,[36][37][38][39][40][41][42][43][44][45]. Six studies with NAS meshes reported post-surgical hyperthermia, meaning 3.15% out of 755 cases [46][47][48][49][50][51].…”

Place du matériel prothétique dans le traitement du prolapsus par voie vaginale

“…Seul Paraiso rapporte la survenue d'un abcès pelvien dans les suites opératoires [6]. Dans 11 études non randomisées (soit 623) patientes), dont neuf portant sur des prothèses NRS, aucune complication infectieuse n'a été notée en période postopératoire [28,[31][32][33][34][35][36][37][38][39][40]. Six études portant sur des prothèses NRS rapportent une hyperthermie dans 3,15 % des cas en moyenne sur 755 patientes traitées [41][42][43][44][45][46].…”