Synthetic biomaterials for pelvic floor reconstruction
- 1 September 2005
- journal article
- review article
- Published by Springer Science and Business Media LLC in Current Urology Reports
- Vol. 6 (5), 376-384
- https://doi.org/10.1007/s11934-005-0057-7
Abstract
Pelvic organ prolapse and stress urinary incontinence increase with age. The increasing proportion of the aging female population is likely to result in a demand for care of pelvic floor prolapse and incontinence. Experimental evidence of altered connective tissue metabolism may predispose to pelvic floor dysfunction, supporting the use of biomaterials, such as synthetic mesh, to correct pelvic fascial defects. Re-establishing pelvic support and continence calls for a biomaterial to be inert, flexible, and durable and to simultaneously minimize infection and erosion risk. Mesh as a biomaterial has evolved considerably throughout the past half century to the current line that combines ease of use, achieves good outcomes, and minimizes risk. This article explores the biochemical basis for pelvic floor attenuation and reviews various pelvic reconstructive mesh materials, their successes, failures, complications, and management.Keywords
This publication has 55 references indexed in Scilit:
- Evaluation and Treatment of Women With Rectocele: Focus on Associated Defecatory and Sexual DysfunctionObstetrics & Gynecology, 2004
- Functional and anatomical outcome of anterior and posterior vaginal prolapse repair with prolene meshBJOG: An International Journal of Obstetrics and Gynaecology, 2004
- Combined genital prolapse repair reinforced with a polypropylene mesh and tension‐free vaginal tape in women with genital prolapse and stress urinary incontinence: a retrospective case–control study with short‐term follow‐upActa Obstetricia et Gynecologica Scandinavica, 2004
- Sexual function in women before and after suburethral sling operation for stress urinary incontinence: a retrospective questionnaire studyActa Obstetricia et Gynecologica Scandinavica, 2004
- Urinary complications and sexual function after the tension‐free vaginal tape procedureActa Obstetricia et Gynecologica Scandinavica, 2004
- Collagen synthesis is not altered in women with stress urinary incontinenceNeurourology and Urodynamics, 2004
- Management of Vaginal Erosion of Polypropylene Mesh SlingsJournal of Urology, 2003
- Vaginal Erosion Caused By Antibacterial Mesh SlingJournal of Urology, 2002
- COMPLICATIONS OF SILICONE SLING INSERTION FOR STRESS URINARY INCONTINENCEJournal of Urology, 2000
- Anterior colporrhaphy reinforced with Marlex mesh for the treatment of cystocelesInternational Urogynecology Journal, 1998