International Urogynecology Journal

, Volume 17, Issue 5, pp 483–488

Long-term anatomical and functional assessment of trans-vaginal cystocele repair using a tension-free polypropylene mesh

  • Renaud de Tayrac
  • Xavier Deffieux
  • Amélie Gervaise
  • Aurélia Chauveaud-Lambling
  • Hervé Fernandez
Original Article

DOI: 10.1007/s00192-005-0046-x

Cite this article as:
de Tayrac, R., Deffieux, X., Gervaise, A. et al. Int Urogynecol J (2006) 17: 483. doi:10.1007/s00192-005-0046-x

Abstract

We report a case series of 63 women with cystocele who underwent the same trans-vaginal procedure between October 1999 and October 2002. The polypropylene mesh (GyneMesh, Gynecare, Ethicon, France) was placed from the retropubic space to the inferior part of the bladder in a tension-free fashion. Patients were followed up for 24 to 60 months, with a mean follow-up of 37 months. Fifty-five patients returned for follow-up (87.3%). At follow-up, 49 women were anatomically cured (89.1%), five women had stage 2 anterior vaginal wall prolapse (9.1%), and one had a recurrent stage 3 (1.8%). Functional results and sexual function were also investigated. Fifty-three women had significant improvement in their quality of life (96.4%). There were a total of three cases of local pain around a mesh shrinkage (5.5%) and five vaginal erosions of the mesh (9.1%). Four out of 24 patients had dyspareunia (16.7%). In conclusion, the vaginal repair of anterior vaginal wall prolapse reinforced with a polypropylene mesh was efficient at 2 to 5 years follow-up. However, the first generation of polypropylene mesh we used was responsible for high rates of local complications and dyspareunia. Therefore, the polypropylene mesh has to be improved (lower weight) and the technique has to be documented by a randomized controlled trial before we could recommend its use in clinical practice.

Keywords

CystoceleVaginal surgeryPolypropylene meshFunctional results

Copyright information

© International Urogynecology Journal 2005

Authors and Affiliations

  • Renaud de Tayrac
    • 1
    • 2
  • Xavier Deffieux
    • 1
  • Amélie Gervaise
    • 1
  • Aurélia Chauveaud-Lambling
    • 1
  • Hervé Fernandez
    • 1
  1. 1.Department of Obstetrics and GynecologyAntoine Béclère HospitalClamartFrance
  2. 2.Service de Gynécologie-ObstétriqueHôpital CarémeauNimes Cedex 9France