Medium-term effects of a monofilament polypropylene mesh for pelvic organ prolapse and sexual function symptoms

Bondili, Anu; Deguara, Christine S.; Cooper, Jason

doi:10.3109/01443615.2011.647732

Cited by 11 publications

(8 citation statements)

References 28 publications

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“…The improvement in vaginal and sexual matters scores was independent of the anatomical success. It has been shown that mesh implantation improves vaginal and sexual matters similar to native tissue . We have chosen the definition of success as described by Weber et al with the leading point <1 cm above the hymen because there would have been only two patients left in the failure group if we had set it to ≤0 …”

Section: Discussionmentioning

confidence: 99%

The effect of vaginal pelvic organ prolapse surgery on sexual function

Dirnagl

Dwyer

Rosamilia

et al. 2014

Neurourol. Urodynam.

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Section: Discussionmentioning

confidence: 99%

The effect of vaginal pelvic organ prolapse surgery on sexual function

Dirnagl

Dwyer

Rosamilia

et al. 2014

Neurourol. Urodynam.

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“…The results suggest that the self-developed POP repair system was non-inferior to the Avaulta system, which has been shown to achieve good outcomes for the treatment of POP. [ 22 , 23 ]…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of a self-developed Chinese pelvic repair system and Avaulta repair system for the treatment of pelvic organ prolapse in women

et al. 2020

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“…It also has not been determined whether mesh repair increases support to the posterior compartment significantly enough to increase the risk of rectal prolapse compared with repair without mesh. However, we do know that 3 years after posterior vaginal mesh repair, 74 % of patients who had symptoms of obstructive defaecation preoperatively had no such symptoms following surgery [10]. This indicates the significant effect that posterior vaginal defect repair can have on rectal function.…”

mentioning

confidence: 99%

“…Surgical treatment of a rectoenterocoele includes posterior colporrhaphy with or without mesh or an abdominal procedure such as a sacrocolpopexy. Our unit has had success with mesh repair [10], as measured using the International Consultation on Incontinence Modular Questionnaire-Vaginal Symptoms (ICIQ-VS) questionnaire, and hence vaginal mesh was used in the case that we were involved in.…”

mentioning

confidence: 99%

Full-thickness rectal prolapse following posterior vaginal repair: something to worry about?

2012

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Rectocoele is a common condition, which often leads to the need for surgical repair [1][2][3]. Common risks and complications of surgical repair discussed and documented on consent forms include: need for repeat repair; failure to improve symptoms; painful intercourse; unmasking of urinary incontinence and urinary retention; the usual surgical risks-thromboembolic events, bleeding, infection [4]. Following an interesting case, namely, a full-thickness rectal prolapse after a posterior trocar-inserted vaginal polypropylene mesh repair of a fourth-degree rectoenterocoele, we looked at the literature on this issue.A literature search using the terms rectocoele, posterior repair, mesh repair of rectocoele, rectal prolapse, pelvic floor repair and concurrent rectal prolapse and rectocoele was undertaken. There were no reported cases that demonstrated a full-thickness rectal prolapse following mesh repair for rectocoele. There was a case reported by South and Amundsen in 2007 of an overt rectal prolapse following repair of a fourth-degree vault prolapse with colpocleisis and levator ani plication [5]. Our case would appear to be the first experienced postoperatively after performing an Avaulta mesh procedure. However, the aetiology of both is likely to be similar and is likely to be underreported.Risk factors for rectocoele include high parity (especially large birth weights delivered vaginally), chronic raised intraabdominal pressure (chronic cough, persistent heavy lifting, constipation), age and increased body mass index (BMI) [2,6]. Previous vaginal-wall repair also increases the risk of developing vaginal wall prolapse; it is often quoted that one in three women who undergo vaginal-wall repair will need further surgery, with some studies showing reoperation rates of 43 % with standard repair techniques [7] and others objective failure rates at 1 year of 43 %, and objective failure rates of 40 % and subjective failure of 24 % at 5 years of follow-up [8,9]. Surgical treatment of a rectoenterocoele includes posterior colporrhaphy with or without mesh or an abdominal procedure such as a sacrocolpopexy. Our unit has had success with mesh repair [10], as measured using the International Consultation on Incontinence Modular Questionnaire-Vaginal Symptoms (ICIQ-VS) questionnaire, and hence vaginal mesh was used in the case that we were involved in.A full-thickness rectal prolapse occurs when all layers of the rectal wall protrude through the anus [11]. This most commonly affects elderly women with a history of obstetric trauma causing weakening of the pelvic floor and damage to the pudendal nerve [11]. This then leads to weakness of the anal sphincters, predisposing to rectal prolapse. Other risk factors for rectal prolapse include obesity, increasing age and chronically raised intra-abdominal pressure-a significant overlap with the risk factors for pelvic organ prolapse (POP) [12]. It is therefore not surprising that the two defects commonly coexist [12].It is accepted that connective tissue damage and disorders predisp...

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Medium-term effects of a monofilament polypropylene mesh for pelvic organ prolapse and sexual function symptoms

Cited by 11 publications

References 28 publications

The effect of vaginal pelvic organ prolapse surgery on sexual function

The effect of vaginal pelvic organ prolapse surgery on sexual function

Safety and efficacy of a self-developed Chinese pelvic repair system and Avaulta repair system for the treatment of pelvic organ prolapse in women

Full-thickness rectal prolapse following posterior vaginal repair: something to worry about?

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