Archives of Gynecology and Obstetrics

, Volume 280, Issue 3, pp 347–350

Laparoscopic apical mesh excision for deep dyspareunia caused by mesh banding in the vaginal apex

Original Article

DOI: 10.1007/s00404-008-0911-1

Cite this article as:
Walid, M.S. & Heaton, R.L. Arch Gynecol Obstet (2009) 280: 347. doi:10.1007/s00404-008-0911-1

Abstract

Background

Gynecare Prolift has been successfully used for pelvic floor repair with favorable objective and subjective outcomes. There have been, however, increasing reports of significant rates of postoperative dyspareunia and impairment of sexual function.

Materials and methods

We are presenting two cases of post Prolift dyspareunia. The patients underwent several vaginal revisions with excision of the apical bands. However, they returned soon with the same complaint. Ultimately, laparoscopic excision of the apical mesh was performed.

Results

Patients reported significant improvement in their intercourse pain after the procedure.

Conclusion

Our experience shows that new onset dyspareunia is primarily caused by the apical component of the Prolift system with deep penetration pain reproduced by pressure on the fixed nondistensible apex. This problem can be treated laparoscopically with excision of the apical mesh.

Keywords

ProliftDyspareuniaLaparoscopyVaginal apexApical banding

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Medical Center of Central GeorgiaMaconUSA
  2. 2.Heart of Georgia Women’s CenterWarner RobinsUSA