Erschienen in:
01.09.2007 | Original Article
Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse
verfasst von:
A. Gauruder-Burmester, P. Koutouzidou, J. Rohne, M. Gronewold, R. Tunn
Erschienen in:
International Urogynecology Journal
|
Ausgabe 9/2007
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Abstract
To retrospectively analyze the outcome of surgery in women followed up for 1 year after vaginal repair with the Apogee® (support of posterior vaginal wall) or Perigee® (support of anterior vaginal wall) system. A total of 120 patients with recurrent cystocele and/or rectocele or with combined vaginal vault prolapse were treated by either posterior or anterior mesh interposition depending on the defect. Follow-up after 1 year (±31 days) comprised a vaginal examination with prolapse grading using the POP-Q system, measurement of vaginal length, evaluation of the vaginal mucosa, and exploration for mesh erosions. Postoperatively, 112 (93%) women were free of vaginal prolapse, whereas 8 (7%) had level 2 defects. Erosions occurred significantly more often (p = 0.042) in patients treated with the Perigee system. Our results suggest that the Apogee® and Perigee® repair systems (monofilament polypropylene mesh) yield excellent short-term results after 1 year.