Vaginal mesh exposure after prolapse surgery. A descriptive study of 43 cases: Epidemiology and therapeutic management

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
E QuiboeufC Hocké

Abstract

To describe the prevalence and time of occurrence of vaginal mesh exposure based on the initial surgical approach of prolaps. To describe their therapeutic management. Descriptive retrospective study of 43 women followed for vaginal mesh exposure diagnosed during a follow-up visit or motivated by symptoms. The initial surgery was performed abdominally (promontofixation) or vaginally. The therapeutic management was carried out by medical and/or surgical (prosthetic resection partial or complete). The prevalence of vaginal exposure was 7.3% in case of vaginal initial surgery and 2.8% in case of promontofixation initial (P=0.02). Mesh exposure have appeared earlier in case of vaginal initial surgery compared to promontofixation (14.9 months vs. 45.2 months). After vaginal initial surgery, vaginal mesh exposure appeared to third within 6 months postoperatively (9/29). The success rate of medical treatment was 21.4%. In total, 31% of women initially made vaginally and 64.9% of women initially made abdominally required at least two surgeries to get a cure. Vaginal mesh exposure may be away from the initial surgery, especially when the first initial surgery was abdominal. The medical treatment of vaginal mesh exposure led to poor resu...Continue Reading

References

Oct 18, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Pierre CollinetMichel Cosson
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Sep 14, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·O Chanelles, C Poncelet
Sep 20, 2011·International Urogynecology Journal·Christopher M MaherCathryn M A Glazener
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Oct 16, 2013·American Journal of Obstetrics and Gynecology·Sara AbbottMatthew D Barber

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