PMID: 16645554Apr 29, 2006Paper

Treatment of genital prolapse with a polypropylene mesh inserted via the vaginal route. Anatomic and functional outcome in women aged less than 50 years

Journal de gynécologie, obstétrique et biologie de la reproduction
Y BenhaimHerve Fernandez

Abstract

We evaluated the results of surgical insertion of a polypropylene mesh via the vaginal route in young women presenting genital prolapse. Retrospective study concerning 20 women under age 50 who underwent between July 2000 and December 2003 surgical insertion of an anterior (n=14), posterior (n=3) or double (anterior and posterior) (n=3) polypropylene mesh via the vaginal route. A minimum follow-up of 6 months was required for inclusion in the study. Anatomical results were assessed using the Pelvic Organ Prolapse Quantification (POP-Q) according to ICS (International Continence Society) recommendations. To document the functional results, the patients answered 3 validated self-assessment questionnaires related to pelvic symptoms, sexual behaviors and quality of life. Mean follow-up was 21 months (6 to 52 months). A vaginal erosion of the mesh occurred in 2 women (10%). Cystocele recurred in one woman among the 17 patients who had an anterior polypropylene mesh (Gynemesh, Gynecare, Ethicon). Seventeen women were sexually active before the surgical procedure and 19 post-operatively. Among these women, 5 (26%) reported alteration of sexual activity after surgery (with dyspareunia in 4 cases (21%)), and 14 women (74%) reported no c...Continue Reading

Citations

Jan 16, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·A Gauruder-BurmesterR Tunn
Aug 12, 2009·Der Urologe. Ausg. A·H LoertzerA Strauss
Sep 14, 2007·Expert Review of Medical Devices·Ginger Isom-Batz, Philippe E Zimmern
Dec 12, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Loïc SentilhesLoïc Marpeau
Apr 25, 2012·Der Urologe. Ausg. A·H LoertzerA Strauß

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