Int Neurourol J.
2010 Apr;14(1):34-42.
Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse
- Affiliations
-
- 1Department of Urology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea. ksleedr@skku.edu
- 2Department of Urology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
- 3Department of Urology, Kwandong University, College of Medicine, Seoul, Korea.
- 4Department of Urology, Pusan National University, College of Medicine, Busan, Korea.
- 5Department of Urology, Hallym University, College of Medicine, Seoul, Korea.
- 6Department of Urology, Korea University, College of Medicine, Seoul, Korea.
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.
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