Current Urology Reports

, Volume 13, Issue 3, pp 222–230

Central Compartment and Apical Defect Repair Using Synthetic Mesh

Authors

  • Karen Soules
    • Department of UrologyLouisiana State University Health Sciences Center New Orleans
  • J. Christian Winters
    • Department of UrologyLouisiana State University Health Sciences Center New Orleans
    • Department of UrologyLouisiana State University Health Sciences Center New Orleans
Female Urology (A Gousse, Section editor)

DOI: 10.1007/s11934-012-0253-1

Cite this article as:
Soules, K., Winters, J.C. & Chermansky, C.J. Curr Urol Rep (2012) 13: 222. doi:10.1007/s11934-012-0253-1

Abstract

Pelvic organ prolapse is an increasingly common condition for women that has been challenging to treat due to high recurrence rates after surgical repair. The introduction of mesh-augmented prolapse repairs as a means to achieve more robust repairs had great initial promise. As more data emerge on outcomes and novel mesh complications, the when and where of mesh augmentation has become much less clear. This article reviews the relevant literature on the use of mesh in central and apical repairs. This includes a detailed look at the available data for vaginal mesh kits and several recent trials comparing mesh kits to traditional repairs. The article ends with a discussion of the recent U.S. Food and Drug Administration (FDA) safety communication on the use of transvaginal mesh in pelvic organ prolapse and the authors’ views of how practice may change in this new environment.

Keywords

MeshPelvic organ prolapseStress urinary incontinenceAnterior sacrocolpopexyRandomized controlled trialsFDAAnterior colporrhaphyQuality of lifeFemale urology

Copyright information

© Springer Science+Business Media, LLC 2012