Low-Weight Polypropylene Mesh for Anterior Vaginal Wall Prolapse

Hiltunen, Reijo; Nieminen, Kari; Takala, Teuvo; Heiskanen, Eila; Merikari, Mauri; Niemi, Kirsti; Heinonen, Pentti K.

doi:10.1097/01.aog.0000261899.87638.0a

Cited by 255 publications

(142 citation statements)

References 14 publications

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“…The appearance of prolapse in a well supported compartment is an issue which occurs after all surgery for prolapse whether conventional or using mesh [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

Outcome of Repeat Surgery for Genital Prolapse using Prolift-Mesh

2012

Gynecol Obstet (Sunnyvale)

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“…The appearance of prolapse in a well supported compartment is an issue which occurs after all surgery for prolapse whether conventional or using mesh [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

Outcome of Repeat Surgery for Genital Prolapse using Prolift-Mesh

2012

Gynecol Obstet (Sunnyvale)

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“…The exposure rate of the mesh was 14%; also small, nonsymptomatic exposures were recorded. In the literature, mesh exposure rates have varied between 7% and 17% [10,[14][15][16]. The erosion rate of vaginal meshes may to be related to surgeon's experience.…”

Section: Discussionmentioning

confidence: 99%

Trocar-guided polypropylene mesh for pelvic organ prolapse surgery—perioperative morbidity and short-term outcome of the first 100 patients

et al. 2010

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This study was conducted to assess the subjective outcome, complications and cure rates of prolapse surgery with a standardized trocar-quided polypropylene mesh in the first 100 patients. A follow-up visit was made after 2 months after the operation and the subjective outcome was assessed with a postal questionnaire 1 year postoperatively. An anterior mesh was used in 48, posterior mesh in 45, total mesh in five and combined anterior and posterior mesh in two patients. All patients had one or more subjective symptoms. Forty-seven percent of the patients had undergone prolapse surgery and 16% an antiincontinence operation previously. Two patients had peroperative bleeding of more than 1,000 ml, antibiotic treatment was needed in 28 patients and two hematomas were evacuated. A total of 16 patients underwent an antiincontinence operation for de novo stress urinary incontinence. Four patients needed cystocele repair after a posterior mesh and eight patients posterior repair after an anterior mesh. The mesh exposure was diagnosed in 14 patients. No serious complications occurred. Fifty-three (60%) patients reported all preoperative symptoms cured, 27 (30%) reported persistent symptoms and five patients were hesitant. Of the respondents, 63 (71%) were satisfied with the operation. We found that the mesh procedures were associated with a quite high amount of minor postoperative problems.

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“…In studies with apical fixation or concomitant apical surgery [71][72][73][74][75][76][77][78][79], anterior repair using a synthetic mesh (excluding Prolift ® and Perigee ® ) had a cumulative success rate of 93 %; the cumulative success rate of studies without apical fixation or without standard apical surgery [80][81][82][83][84][85][86][87][88][89] was 83 %. The cumulative rate of mesh erosion was 8 % (137/1740); the cumulative rate for chronic pain and de novo dyspareunia was 7% (59/846).…”

Section: Level Of Evidence 3 Grade Of Recommendation Bmentioning

confidence: 99%

“…However, one study evaluated the long-term data after three years and no longer found any significant difference between the two procedures [72,120]. The CARE study [121] compared abdominal sacrocolpopexy in preoperatively continent women with (n = 157) and without (n = 165) concomitant Burch colposuspension.…”

Section: Continent Women With Genital Prolapsementioning

confidence: 99%

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

Baeßler

Aigmüller

Albrich

et al. 2016

Geburtshilfe Frauenheilkd

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Ziel: Erstellung einer offiziellen, internationalen, interdisziplinären Leitlinie, publiziert und koordiniert von der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG). Die Leitlinie wurde für den deutschsprachigen Raum entwickelt und wird neben der DGGG auch von der Schweizerischen Gesellschaft für Gynäkologie und Geburtshilfe (SGGG) und der Österreichischen Gesellschaft für Gynäkologie und Geburtshilfe (OEGGG) mitgetragen. Das Ziel dieser Leitlinie, die von der DGGG publiziert und koordiniert wurde, ist es, durch die Evaluation der relevanten Literatur einen evidenzbasierten Überblick über die Diagnostik sowie konservative und operative Therapie des Descensus genitalis der Frau mit oder ohne Belastungsinkontinenz zu geben. Methoden: Es erfolgte ein systematischer Review sowie Synthese von Daten, anteilig mit Metaanalyse (S2e). Es wurde eine umfassende Literatursuche in MEDLINE, Embase, Cinahl, Pedro und im Cochrane-Register, in Referenzlisten und in den Abstracts der Annual Meetings der International Continence Society und der International Urogynecological Association durchgeführt. Abstracts wurden eingeschlossen, wenn es sich um randomisierte Studien handelte, die als Podiumpräsentation vorgestellt und diskutiert wurden. Es wurden Originalarbeiten seit 2008 eingeschlossen, deren Nachkontrollzeitraum bei mindestens 12 Monaten lag. Für die Beschreibung von perioperativen Komplikationen wurden jegliche Daten herangezogen. Empfehlungen: Es werden Empfehlungen zur Diagnostik, konservativen und operativen Therapie des Genitaldeszensus gegeben, wobei die 3 urogynäkologischen Kompartimente, Prävention oder Behandlung von Belastungsinkontinenz, Vor-und Nachteile von Netzaugmentationen sowie uteruserhaltende Optionen, berücksichtigt

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Low-Weight Polypropylene Mesh for Anterior Vaginal Wall Prolapse

Abstract: Anterior colporrhaphy, reinforced with, tailored mesh significantly reduced the rate of recurrence of anterior vaginal wall prolapse compared with the traditional operation, but was associated more often with stress urinary incontinence.

Cited by 255 publications

References 14 publications

Outcome of Repeat Surgery for Genital Prolapse using Prolift-Mesh

Outcome of Repeat Surgery for Genital Prolapse using Prolift-Mesh

Trocar-guided polypropylene mesh for pelvic organ prolapse surgery—perioperative morbidity and short-term outcome of the first 100 patients

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

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