International Urogynecology Journal

, Volume 18, Issue 9, pp 1053–1057 | Cite as

A long-term review of posterior colporrhaphy with Vypro 2 mesh

  • Yik Nyok Lim
  • Reinhold Muller
  • Audrey Corstiaans
  • Sarah Hitchins
  • Christopher Barry
  • Ajay Rane
Original Article

Abstract

The objective is to study the long-term outcomes of posterior colporrhaphy with composite polyglactin 910-polypropylene mesh (Vypro 2, Ethicon, Somerville, NJ, USA) utilizing an overlay technique. Seventy-eight patients involved in our previous study were contacted 3 years after their initial operation for follow-up (Lim YN, Rane A, Muller R, Int Urogynecol J 16:126–131, 2005). Thirty-seven (47%) returned for follow-up and completed a standardized questionnaire survey, whereas a further 16 (20%) returned their postal questionnaires. Mean age was 61.3 (SD 10.8) years, and follow-up was 35.7 (SD 4.5) months. There were statistically significant improvements in vaginal lump sensation and constipation (p < 0.001) but no differences with defecatory difficulties or dyspareunia. De novo dyspareunia was reported in 27%. On examination, the incidences of mesh vaginal erosion and rectocele recurrence were 30% and 22%, respectively. It appears that posterior colporrhaphy incorporating Vypro 2 mesh with an overlay method is associated with unacceptably high incidence of complications.

Keywords

Complications Dyspareunia Mesh erosion Polypropylene Posterior vaginal prolapse 

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Copyright information

© International Urogynecology Journal 2007

Authors and Affiliations

  • Yik Nyok Lim
    • 1
    • 2
  • Reinhold Muller
    • 3
  • Audrey Corstiaans
    • 4
  • Sarah Hitchins
    • 5
  • Christopher Barry
    • 5
  • Ajay Rane
    • 5
  1. 1.Department of UrogynecologyMercy Hospital for WomenMelbourneAustralia
  2. 2.Monash Medical CentreMelbourneAustralia
  3. 3.School of Public HealthJames Cook UniversityTownsvilleAustralia
  4. 4.Townsville HospitalTownsvilleAustralia
  5. 5.James Cook UniversityTownsvilleAustralia

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