International Urogynecology Journal

, Volume 18, Issue 9, pp 1059–1064

Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse

  • A. Gauruder-Burmester
  • P. Koutouzidou
  • J. Rohne
  • M. Gronewold
  • R. Tunn
Original Article

DOI: 10.1007/s00192-006-0291-7

Cite this article as:
Gauruder-Burmester, A., Koutouzidou, P., Rohne, J. et al. Int Urogynecol J (2007) 18: 1059. doi:10.1007/s00192-006-0291-7

Abstract

To retrospectively analyze the outcome of surgery in women followed up for 1 year after vaginal repair with the Apogee® (support of posterior vaginal wall) or Perigee® (support of anterior vaginal wall) system. A total of 120 patients with recurrent cystocele and/or rectocele or with combined vaginal vault prolapse were treated by either posterior or anterior mesh interposition depending on the defect. Follow-up after 1 year (±31 days) comprised a vaginal examination with prolapse grading using the POP-Q system, measurement of vaginal length, evaluation of the vaginal mucosa, and exploration for mesh erosions. Postoperatively, 112 (93%) women were free of vaginal prolapse, whereas 8 (7%) had level 2 defects. Erosions occurred significantly more often (p = 0.042) in patients treated with the Perigee system. Our results suggest that the Apogee® and Perigee® repair systems (monofilament polypropylene mesh) yield excellent short-term results after 1 year.

Keywords

DyspareuniaMesh erosionMonofilament polypropylene meshRecurrent prolapse

Copyright information

© International Urogynecology Journal 2007

Authors and Affiliations

  • A. Gauruder-Burmester
    • 1
  • P. Koutouzidou
    • 2
  • J. Rohne
    • 1
  • M. Gronewold
    • 1
  • R. Tunn
    • 1
  1. 1.Department of Urogynecology, German Pelvic Floor CenterSt. Hedwig HospitalBerlinGermany
  2. 2.Department of Surgery, German Pelvic Floor CenterSt. Hedwig HospitalBerlinGermany