Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse.
- Author:
Young Suk LEE
1
;
Deok Hyun HAN
;
Soo Hyun LIM
;
Tae Heon KIM
;
Myung Soo CHOO
;
Ju Tae SEO
;
Jeong Zoo LEE
;
Byung Soo CHUNG
;
Jeong Gu LEE
;
Kyu Sung LEE
Author Information
1. Department of Urology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea. ksleedr@skku.edu
- Publication Type:Original Article
- Keywords:
Pelvic organ prolapse;
Lower urinary tract symptoms;
Surgery
- MeSH:
Aged;
Animals;
Female;
Follow-Up Studies;
Hemorrhage;
Humans;
Lower Urinary Tract Symptoms;
Mice;
Pelvic Floor;
Pelvic Organ Prolapse;
Polypropylenes;
Prolapse;
Suburethral Slings;
Urinary Incontinence
- From:International Neurourology Journal
2010;14(1):34-42
- CountryRepublic of Korea
- Language:English
-
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 > or = 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.
