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Current Urology Reports

Erschienen in:

01.06.2012 | Female urology (A Gousse, Section Editor)

Anterior Pelvic Organ Prolapse Repair Using Synthetic Mesh

verfasst von: Bhavin N. Patel, Alvaro Lucioni, Kathleen C. Kobashi

Erschienen in: Current Urology Reports | Ausgabe 3/2012

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Abstract

Since the U.S. Food and Drug Administration (FDA) statement on mesh in July of 2011, there has been controversy regarding synthetic mesh repairs for vaginal prolapse. In this article, we review the biochemical basis for the use of synthetic mesh in prolapse repair as well as clinical results of anterior compartment prolapse repair with synthetic mesh. Finally, we discuss the FDA warning regarding mesh.

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• Vulic M, Stinic T, Bukovic D, et al. Expression of matrix metalloproteinase-1 in uterosacral ligaments tissue of women with genital prolapse. Coll Antropol. 2010. This paper reviews expression of MMP-1 in the uterosacral ligaments of patients with without prolapse and. In body mass index (BMI)-, age-, and parity-matched populations, the authors were able to show increased levels of MMP-1 (collagen degradation enzyme) in patients with prolapse.

Vulic M, Strinc T, Tomic, et al. Difference in expression of collagen type 1 and matrix metalloproteinase-1 in uterosacral ligaments of women with and without pelvic organ prolapse. Eur J Obstet Gynecol. 2011.

Liang CC, Huang HY, Tseng, et al. Expression of matrix metalloproteinase-2 and tissue inhibitors of metalloproteinase-1 in women with uterine prolapse but without urinary incontinence. Eur J Obstet Gynecol. 2010.

Takacs P, Nassiri M, Viciana A, et al. Fibulin-5 expression is decreased in women with anterior vaginal wall prolapse. Int Urogynecol. 2008

Yamamoto K, Yamamoto M, Akazawa K, et al. Decrease in elastin gene expression and protein synthesis in fibroblasts derived from cardinal ligaments of patients with prolapsus uteri. Cell Biol Int. 1997;21:605.PubMedCrossRef

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Karlovsjky ME, Tharke AA, Ardeshir R, et al. Biomaterials for pelvic floor reconstruction. J Urol. 2005.

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Silva WA, Karram MM. Scientific basis for use of grafts during vaginal reconstructive procedures. Curr Opin Obstet Gynaecol. 2005.

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Nguyen JN, Burchette RJ. Outcome after anterior vaginal prolapse repair: a randomized controlled trial. Obstet Gynecol. 2008.

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Sivasligolu AA, Unlubilgin E, Dolen I. A randomized comparison of polypropylene mesh surgery with site-specific surgery in treatment of cystocele. Int Urogynecol J Pelvic Floor Dysfunct. 2008.

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•• Nieminen K, Hiltunen R, Takala T, et al. Outcomes after anterior vaginal wall repair with mesh: a randomized controlled trial with 4 year follow-up. Am J Obstet Gynecol. 2010. This randomized trial is described in the article as well as in table 1. This was a randomized trial of 200 patients who had anterior prolapse repairs with mesh or colporrhaphy. The mesh arm had improved anatomic outcomes but a 19 % vaginal mesh extrusion rate.

16.

•• Altman D, Vayrynen T, Engh ME, et al. Anterior colporrhaphy versus transvaginal mesh for pelvic organ prolapse. N Engl J Med. 2011. This randomized trial is described in the article as well as in table 1. This was a randomized trial of 389 patients who had anterior prolapse repairs with mesh kit or colporrhaphy. The mesh arm had improved anatomic outcomes, but had a 3.2 % rate of vaginal mesh extrusion and a higher rate of dyspareunia (not statistically significant).

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Al-Nazer MA, Ismail WA, Gomaa IA. Comparative study between anterior colporraphy versus vaginal wall repair with mesh for management of anterior vaginal wall prolapse (Abstract number 84). Int Urogynecol J Pelvic Floor Dysfunct. 2007;18 Suppl 1:49–50.

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Ali S, Han HC, Lee LC. A prospective randomized trial using Gynemesh PS (trademark) for the repair of anterior vaginal wall prolapse (Abstract number 292). Int Urogynecol J Pelvic Floor Dysfunct. 2006;17 Suppl 2:221.

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Lim JL, Carey MP, Higgs PJ, Goh J, Krause H, Leong A, et al. Vaginal colporrhaphy versus vaginal repair with mesh for pelvic organ prolapse: a randomised controlled trial (Abstract number 65). Int Urogynecol J Pelvic Floor Dysfunct. 2007;18 Suppl 1:38–9.

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Feiner B, Jelovsek JE, Maher C. Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. BJOG. 2009.

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U.S. Food and Drug Administration. FDA Safety Communication: UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse. Available at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm262752.htm. Accessed March 2012.

22.

Committee Opinion no 513: vaginal placement of synthetic mesh for pelvic organ prolapse. Obstet Gynecol. 2011;118(6):1459–64.

23.

• Dietz HP, Erdmann M, Shek KL. Mesh contraction: myth or reality? Am J Obstet Gynecol. 2011;204(173):e1–4. In a study of 40 patients post–anterior prolapse repair with synthetic mesh (3–52 months postoperatively),the authors found no evidence of mesh contraction with ultrasound. In fact, they found that mesh length was increased.

Titel: Anterior Pelvic Organ Prolapse Repair Using Synthetic Mesh
verfasst von: Bhavin N. Patel
Alvaro Lucioni
Kathleen C. Kobashi
Publikationsdatum: 01.06.2012
Verlag: Current Science Inc.
Erschienen in: Current Urology Reports / Ausgabe 3/2012
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-012-0246-0

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