Abstract
Graft materials have been utilized in the repair of posterior vaginal wall defects to enhance anatomical and functional results, and to improve long-term outcomes. We report on our initial series of 35 patients treated with porcine dermal acellular collagen matrix BioMesh (PelviSoft BioMesh, CR Bard, Cranston, R.I., USA), which has alleviated problems with early postoperative vaginal mucosal dehiscence and delayed healing experienced with the use of other graft materials in the posterior vaginal wall.
Similar content being viewed by others
References
Kahn MA, Stanton SL (1997) Posterior colporrhaphy: it’s effects on bowel and sexual function. Br J Obstet Gynaecol 104:82–86
Kenton K, Shott S, Brubaker L (1999) Outcome after rectovaginal fascia reattachment for rectocele repair. Am J Obstet Gynecol 181:1360–1364
Francis WJA, Jeffcoate TNA (1961) Dyspareunia following vaginal operations. J Obstet Gynaecol Br Comm 68:1–10
Weber AM, Walters MD, Piedmonte MR (2000) Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 182:1610
Richardson AC (1993) The rectovaginal septum revisited: it’s relationship to rectocele and its importance to rectocele repair. Clin Obstet Gynecol 36:976–983
Richardson AC (1995) The anatomical defects in rectocele and enterocele. J Pelvic Surg 1:214
Cundiff GW, Weidner AL, Visco AG, Addison WA, Bump RC (1998) An anatomical and functional assessment of the discrete defect rectocele repair. Am J Obstet Gynecol 179:1451–1457
Porter WE, Steele A, Walsh P, Kohli N, Karram MM (1999) the anatomic and functional outcome of defect specific rectocele repairs. Am J Obstet Gynecol 181:1353–1359
Vassallo BJ, Karram MM (2003) Management of iatrogenic vaginal constriction. Obstet Gynecol 101:512–520
Kohli N, Miklos J (2003) Dermal graft-augmented rectocele repair. Int Urogynecol J 14:146–149
Author information
Authors and Affiliations
Corresponding author
Additional information
Editorial Comment: This case series reports the use of fenestrated porcine acellular collagen matrix to augment rectocele repair. While this alteration of the porcine graft is novel, few conclusions can be drawn from this descriptive case series in regards to any possible benefits it may have over traditional grafts. The lack of standardized follow-up in this series, apart from POP-Q measurements, requires that the reader be skeptical of the stated lack of bowel or sexual complaints following this procedure. Nonetheless, the lack of any serious complications after 1 year of follow-up as reported by the authors is reassuring
Rights and permissions
About this article
Cite this article
Dell, J.R., O’Kelley, K.R. PelviSoft BioMesh augmentation of rectocele repair: the initial clinical experience in 35 patients. Int Urogynecol J 16, 44–47 (2005). https://doi.org/10.1007/s00192-004-1217-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-004-1217-x