Graft Augmentation in Surgical Repair of Anterior Vaginal Wall Prolapse

Prevalence and surgical outcomes of stage 3 and 4 pelvic organs prolapse in Jimma university medical center, south west Ethiopia

“…Stage 3 and above AVWP require additional procedures like the use of vaginal mesh or other anterior colposuspension procedures in addition to anterior colporrhaphy because of the high risk of recurrence which is found to be 27% to 42% after native tissue repair (anterior colporrhaphy) [17]. Use of transvaginal mesh in anterior vaginal wall prolapse repair is found to have good short-term to medium anatomic and subjective outcomes; however, its use results in higher rates of surgical complications (longer duration of surgery, higher rates of hemorrhage, bladder perforation, new stress urinary incontinence, and reoperation to correct mesh exposure) with no difference in reoperation rates for recurrent prolapse compared to anterior colporrhaphy [1,4,20,40]. Furthermore, there was no difference in the vaginal symptoms (perception of prolapse) and quality of life (QoL) between the two groups [19].…”

“…The prevalence of symptomatic POP was much lower (3-6%) than the prevalence identified by examination (41-50%) in developed countries [1] and 6.3% and 55% respectively in Ethiopia [2] which is similar to the rural Gambia, West Africa [3]. Moreover, the global prevalence rate of POP is as high as 50% [4]. Advanced Anterior Vaginal Wall Prolapse (AVWP) is found to be correlated strongly with apical prolapse and anterior vaginal wall defects that are surgically repaired usually require a concomitant repair of the apex [5].…”