Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift™ technique)—a case series multicentric study
- 28 November 2006
- journal article
- case report
- Published by Springer Science and Business Media LLC in International Urogynecology Journal
- Vol. 18 (7), 743-52
- https://doi.org/10.1007/s00192-006-0234-3
Abstract
Our goal was to report the preliminary results of a transvaginal mesh repair of genital prolapse using the Prolift™ system. This retrospective multicentric study includes 110 patients. All patients had a stage 3 (at the hymen) or stage 4 (beyond the hymen) prolapse. Total mesh was used in 59 patients (53.6%), an isolated anterior mesh in 22 patients (20%) and an isolated posterior mesh in 29 patients (26.4%). We report one bladder injury sutured at surgery and two haematomas requiring secondary surgical management. At 3 months, 106 patients were available for follow-up. Mesh exposure occurred in five patients (4.7%), two of them requiring a surgical management. Granuloma without exposure occurred in three patients (2.8%). Failure rate (recurrent prolapse even asymptomatic or low grade symptomatic prolapse) was 4.7%. According to the perioperative and immediate post-operative results, Prolift™ repair seems to be a safe technique to correct pelvic organ prolapse. Anatomical and functional results must be assessed with a long-term follow-up to confirm the effectiveness and safety of the procedure.Keywords
This publication has 24 references indexed in Scilit:
- Dyspareunia following vaginal surgery for prolapse using polypropylene mesh. Re: paper by Milani et al.1BJOG: An International Journal of Obstetrics and Gynaecology, 2005
- Évolution des idées sur le traitement chirurgical des prolapsus génitauxJournal de Gynécologie Obstétrique et Biologie de la Reproduction, 2004
- Risk factors for prolapse recurrence after vaginal repairAmerican Journal of Obstetrics and Gynecology, 2004
- Functional and anatomical outcome of anterior and posterior vaginal prolapse repair with prolene meshBJOG: An International Journal of Obstetrics and Gynaecology, 2004
- Abdominal Sacrocolpopexy: A Comprehensive ReviewObstetrics & Gynecology, 2004
- Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: A prospective randomized studyAmerican Journal of Obstetrics and Gynecology, 2004
- A nationwide analysis of complications associated with the tension‐free vaginal tape (TVT) procedureActa Obstetricia et Gynecologica Scandinavica, 2002
- Epidemiology of surgically managed pelvic organ prolapse and urinary incontinenceObstetrics & Gynecology, 1997
- The efficacy of Marlex mesh in the repair of severe, recurrent vaginal prolapse of the anterior midvaginal wallAmerican Journal of Obstetrics and Gynecology, 1996
- Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: A prospective randomized study with long-term outcome evaluationAmerican Journal of Obstetrics and Gynecology, 1996