Female Stress Incontinence and Prolapse (R Dmochowski, Section Editor)

Current Bladder Dysfunction Reports

, Volume 8, Issue 1, pp 25-31

First online:

Vaginal Prolapse Repair—Native Tissue Repair versus Mesh Augmentation: Newer Isn’t Always Better

  • Shunaha Kim-FineAffiliated withFemale Pelvic Medicine and Reconstructive Surgery, Division of Gynecologic Surgery, Mayo Clinic
  • , John A. OcchinoAffiliated withFemale Pelvic Medicine and Reconstructive Surgery, Division of Gynecologic Surgery, Mayo Clinic
  • , John B. GebhartAffiliated withFemale Pelvic Medicine and Reconstructive Surgery, Division of Gynecologic Surgery, Mayo Clinic Email author 

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Abstract

The purpose of this article is to update the female urology and urogynecologic community on the controversy regarding approaches to vaginal surgery for pelvic organ prolapse. We will review the salient issues in traditional, vaginal native-tissue (NT) repair for pelvic organ prolapse. We intend to provide arguments advocating vaginal NT repair over that of vaginal mesh-augmented (MA) repair, and to show that newer is not always better.

Keywords

Pelvic organ prolapse Transvaginal mesh Pelvic surgery Vaginal surgery