Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Boulanger L, Boukerrou M, Lambaudie E, Defossez A, Cosson M (2006) Tissue integration and tolerance to meshes used in gynecology surgery: an experimental study. Eur J Obstet Gynecol Reprod Biol 125(1):103–108 (Mar 1)

    Article  PubMed  Google Scholar 

  2. Krause H, Goh J, Forward M, Bennett M (2004) Biomechanical properties of surgical mesh using an animal model. Neurourol Urodyn 23(5/6):425–426

    Google Scholar 

  3. Cosson M, Boukerou M, Lobry P, Crepin G, Ego A (2003) Mechanical properties of biological or synthetic implants used to treat genital prolapse and stress incontinence in women: what is the ideal material? J Gynecol Obstet Biol Reprod 32(4):321–328

    CAS  Google Scholar 

  4. Baker KR, Beresford JM, Campbell C (1990) Colposacropexy with prolene mesh. Surg Gynecol Obstet 171(1):51–54

    PubMed  CAS  Google Scholar 

  5. Diana M, Zoppe C, Mastrangeli B (2000) Treatment of vaginal vault prolapse with abdominal sacral colpopexy using prolene mesh. Am J Surg 179(2):126–128

    Article  PubMed  CAS  Google Scholar 

  6. Maher C, Baessler K, Glazener CMA, Adams EJ, Hagen S (2006) Surgical management of pelvic organ prolapse in women (Cochrane review). Cochrane Library, issue 2

  7. Lim YN, Rane A, Muller R (2005) An ambispective observational study in the safety and efficacy of posterior colporrhaphy with composite Vicryl–Prolene mesh. Int Urogynecol J Pelvic Floor Dysfunct 16(2):170

    Article  Google Scholar 

  8. Flood CG, Drutz HP, Waja L (1998) Anterior colporrhaphy reinforced with Marlx mesh for the treatment of cystoceles. Int Urogynecol J Pelvic Floor Dysfunct 9(4):200–204

    Article  PubMed  CAS  Google Scholar 

  9. Dwyer PL, O’Reilly BA (2004) Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 111(8):831–836

    Article  PubMed  Google Scholar 

  10. de Tayrac R, Picone O, Chauveaud-Lambling A, Fernandesz H (2006) A 2-year anatomical and functional assessment of transvaginal rectocele repair using a polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 17(2):100–105

    Article  PubMed  Google Scholar 

  11. Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JOL, Klarskov P, Shull BI, Smith ARB (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–11

    Article  PubMed  CAS  Google Scholar 

  12. Roy S, Miller KE (2004) Vaginal pH is similar to follicle-stimulating hormone for menopause diagnosis. Am J Obstet Gynecol 90:1272–1277 (May)

    Article  Google Scholar 

  13. Tunn R, Schaer G, Peschers U, Bader W, Gauruder A, Hanzal E, Koelbl H, Koelle D, Peruccini D, Petri E, Riss P, Schuessler B, Viereck V (2005) Updated recommendations on ultrasonography in urogynecology. Int Urogynecol J Pelvic Floor Dysfunct 16(3):236–241

    Article  PubMed  CAS  Google Scholar 

  14. Schuettoff S, Beyersdorff D, Gauruder-Burmester A, Tunn R (2006) Visibility of the polypropylene tape after tension-free vaginal tape (TVT) procedure in women with stress urinary incontinence: comparison of introital ultrasound and magnetic resonance imaging in vitro and in vivo. Ultrasound Obstet Gynecol 27(6):687–692

    Article  PubMed  CAS  Google Scholar 

  15. Messelink B, Benson T, Berghmans B, Bo K, Corcos J, Fowler C, Laycock J, Lim PH, van Lunsen R, a Nijeholt GL, Pemberton J, Wang A, Watier A, Van Kerrebroeck P (2005) Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodyn 24(4):374–380

    Article  PubMed  Google Scholar 

  16. Ahlers CJ, Schaefer GA, Beier KM (2004) Fragebogen zum sexuellen Erleben und Verhalten. Sexuologie 11(3/4):74–97

    Google Scholar 

  17. Achtari C, Hiscock R, O’Reilly BA, Schierlitz L, Dwyer PL (2005) Risk factors for mesh erosion after transvaginal surgery using polypropylene (atrium) or composite polypropylene/polyglactin 910(Vypro II) mesh. Int Urogynecol J Pelvic Floor Dysfunct 16(5):389–394

    Article  PubMed  Google Scholar 

  18. Roumequere T (2005) Choice of prosthesis in genital prolapse surgery. Prog Urol 15(6):1042–1045

    Google Scholar 

  19. Belot F, Collinet P, Debodinance P, Ha Due E, Lucot JP, Cosson M (2005) Risk factors for prosthesis exposure in treatment of genital prolapse via the vaginal approach. Gynecol Obstet Fertil 33(12):970–974

    Article  PubMed  CAS  Google Scholar 

  20. de Tayrae R, Deffiux X, Gervaise A, Chauveaud-Lambling A, Fernandesz H (2005) Long-term anatomical and functional assessment of transvaginal cystocele repair using a tension-free polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 17:1–6

    Google Scholar 

  21. Benhaim Y, de Tayrac R, Deffieux X, Gervaise A, Chauveaud-Lambling A, Frydman R, Fernandesz H (2006) Treatment of genital prolapse with a polypropylene mesh inserted via the vaginal route: anatomic and functional outcome in women aged less than 50 years. J Gynecol Obstet Biol Reprod 35(3):219–226

    CAS  Google Scholar 

  22. de Tayrac R, Devoldere G, Renaudie J, Villard P, Guilbaud O, Eglin G (2006) The French Ugytex Study Group. Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1-year functional and anatomical outcome in a prospective multicentre study. Int Urogynecol J Pelvic Floor Dysfunct 13 (in press)

  23. Milani R, Salvaore S, Soligao M, Pifarotti P, Meschina M, Cortes M (2005) Functional and anatomical outcome of anterior and posterior vaginal prolapse repair with prolene mesh. BJOG 112(1):107–111

    Article  PubMed  Google Scholar 

  24. Baesler K, Hewson AD, Tunn R, Schuessler B, Maher CF (2005) Severe mesh complications following intravaginal slingplasty. Obstet Gynecol 106(4):713–716

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urogynecology, German Pelvic Floor Center, St. Hedwig Hospital, Grosse Hamburger Str. 5–11, 10115, Berlin, Germany

    A. Gauruder-Burmester, J. Rohne, M. Gronewold & R. Tunn

  2. Department of Surgery, German Pelvic Floor Center, St. Hedwig Hospital, Grosse Hamburger Str. 5–11, 10115, Berlin, Germany

    P. Koutouzidou

Authors
  1. A. Gauruder-Burmester
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Koutouzidou
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Rohne
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Gronewold
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. R. Tunn
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. Gauruder-Burmester.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gauruder-Burmester, A., Koutouzidou, P., Rohne, J. et al. Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogynecol J 18, 1059–1064 (2007). https://doi.org/10.1007/s00192-006-0291-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-006-0291-7

Keywords

Search

Navigation