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Management of Vaginal Posterior Compartment Prolapse: Is There Ever a Case for Graft/Mesh?

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Female Genitourinary and Pelvic Floor Reconstruction

Abstract

Our current literature supports a traditional native tissue repair (NTR) – posterior colporrhaphy – for the surgical management of most primary posterior compartment defects; although with the acknowledgment of limited long-term (>1–2 year) data. The concept of graft/mesh-augmented repairs was devised to increase the long-term durability of POP repairs: a gap that has been noted with traditional NTR. With that, global societal organizations recognize the potential durability benefits of graft/mesh-augmented POP repairs for more difficult complex POP cases such as with failed primary repair, very large complex defects, or individualized patient factors that may significantly increase the risk of subsequent surgical failure and POP recurrence. Long-term (>5 years) data is needed, as well as surgical innovation focused on improving the durability of surgical repairs.

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Author information

Authors and Affiliations

  1. Division of Female Urology, Voiding Dysfunction and Pelvic Reconstructive Surgery, Department of Urology, University of California Irvine, Irvine, CA, USA

    Olivia H. Chang

  2. UW Medicine Pelvic Health Center, Department of Urology, University of Washington School of Medicine, Seattle, WA, USA

    Suzette E. Sutherland

Authors
  1. Olivia H. Chang
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  2. Suzette E. Sutherland
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Corresponding author

Correspondence to Suzette E. Sutherland .

Editor information

Editors and Affiliations

  1. University of Lisbon, Lisbon, Portugal

    Francisco E. Martins

  2. University of Oslo, Oslo, Norway

    Henriette Veiby Holm

  3. Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Jaspreet S. Sandhu

  4. Eastern Virginia Medical School, Norfolk, VA, USA

    Kurt A McCammon

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Chang, O.H., Sutherland, S.E. (2023). Management of Vaginal Posterior Compartment Prolapse: Is There Ever a Case for Graft/Mesh?. In: Martins, F.E., Holm, H.V., Sandhu, J.S., McCammon, K.A. (eds) Female Genitourinary and Pelvic Floor Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-19598-3_38

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  • DOI: https://doi.org/10.1007/978-3-031-19598-3_38

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-19597-6

  • Online ISBN: 978-3-031-19598-3

  • eBook Packages: MedicineReference Module Medicine

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