, Volume 280, Issue 3, pp 347-350
Date: 07 Jan 2009

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

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access



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.


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


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.