nach oben

Erschienen in:

01.07.2011 | Original Article

Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review

verfasst von: Husam Abed, David D. Rahn, Lior Lowenstein, Ethan M. Balk, Jeffrey L. Clemons, Rebecca G. Rogers, For the Systematic Review Group of the Society of Gynecologic Surgeons

Erschienen in: International Urogynecology Journal | Ausgabe 7/2011

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

This study describes the incidence, risk factors, and treatments of graft erosion, wound granulation, and dyspareunia as adverse events following vaginal repair of pelvic organ prolapse with non-absorbable synthetic and biologic graft materials.

Methods

A systematic review in Medline of reports published between 1950 and November 2010 on adverse events after vaginal prolapse repairs using graft materials was carried out.

Results

One hundred ten studies reported on erosions with an overall rate, by meta-analysis, of 10.3%, (95% CI, 9.7 – 10.9%; range, 0 – 29.7%; synthetic, 10.3%; biological, 10.1%). Sixteen studies reported on wound granulation for a rate of 7.8%, (95% CI, 6.4 – 9.5%; range, 0 – 19.1%; synthetic, 6.8%; biological, 9.1%). Dyspareunia was described in 70 studies for a rate of 9.1%, (95% CI, 8.2 – 10.0%; range, 0 – 66.7%; synthetic, 8.9%; biological, 9.6%).

Conclusions

Erosions, wound granulation, and dyspareunia may occur after vaginal prolapse repair with graft materials, though rates vary widely across studies.

Swift S, Woodman P, O’Boyle A et al (2005) Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol 192:795–806PubMedCrossRef

Olsen AL, Smith VJ, Bergstrom JO et al (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506PubMedCrossRef

Sung VW, Rogers RG, Schaffer JI et al (2008) Society of gynecologic surgeons systematic review group. Graft use in transvaginal pelvic organ prolapse repair: a systematic review. Obstet Gynecol 112(5):1131–1142PubMedCrossRef

DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7(3):177–188PubMedCrossRef

Higgins JP, Thompson SG, Deeks JJ et al (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557–560PubMedCrossRef

Vakili B, Huynh T, Loesch H et al (2005) Outcomes of vaginal reconstructive surgery with and without graft material. Am J Obstet Gynecol 193:2126–2132PubMedCrossRef

Weber AM, Walters MD, Piedmonte MR et al (2001) Am J Obstet Gynecol 185:1299–1304, discussion 1304–1306PubMedCrossRef

Safir MH, Gousse AE, Rovner ES et al (1999) 4-Defect repair of grade 4 cystocele. J Urol 161:587–594PubMedCrossRef

Collinet P, Belot F, Debodinance P et al (2006) Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 17:315–320PubMedCrossRef

10.

Flood CG, Drutz HP, Waja L (1998) Anterior colporrhaphy reinforced with Marlex mesh for the treatment of cystoceles. Int Urogynecol J Pelvic Floor Dysfunct 9:200–204PubMedCrossRef

11.

Hung MJ, Liu FS, Shen PS et al (2004) Factors that affect recurrence after anterior colporrhaphy procedure reinforced with four-corner anchored polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 15:399–406, discussion 406PubMedCrossRef

12.

Hiltunen R, Nieminen K, Takala T et al (2007) Low-weight polypropylene mesh for anterior vaginal wall prolapse: a randomized controlled trial. Obstet Gynecol 110:455–462PubMedCrossRef

13.

Drake NL, Weidner AC, Webster GD et al (2005) Patient characteristics and management of dermal allograft extrusions. Int Urogynecol J Pelvic Floor Dysfunct 16:375–377PubMedCrossRef

14.

Guillibert F, Chêne G, Fanget C et al (2009) Risk factors of mesh exposure after transvaginal repair of genital prolapse. Gynécol Obstét Fertil 37(6):470–475PubMedCrossRef

15.

Su TH, Lau HH, Huang WC et al (2009) Short term impact on female sexual function of pelvic floor reconstruction with the Prolift procedure. J Sex Med 6(11):3201–3207PubMedCrossRef

16.

Araco F, Gravante G, Sorge R et al (2009) The influence of BMI, smoking, and age on vaginal erosions after synthetic mesh repair of pelvic organ prolapses. A multicenter study. Acta Obstet Gynecol Scand 88(7):772–780PubMedCrossRef

17.

Hefni M, Yousri N, El-Toukhy T et al (2007) Morbidity associated with posterior intravaginal slingplasty for uterovaginal and vault prolapse. Arch Gynecol Obstet 276(5):499–504PubMedCrossRef

18.

Kdous M, Zhioua F (2008) Transobturator subvesical mesh: tolerance and mild-term results. A prospective study. J Gynecol Obstet Biol Reprod (Paris) 37(8):758–769

19.

Natale F, La Penna C, Padoa A et al (2008) High levator myorrhaphy for transvaginal suspension of the vaginal apex: long-term results. J Urol 180(5):2047–2052PubMedCrossRef

20.

Natale F, La Penna C, Padoa A et al (2009) A prospective, randomized, controlled study comparing Gynemesh, a synthetic mesh, and Pelvicol, a biologic graft, in the surgical treatment of recurrent cystocele. Int Urogynecol J Pelvic Floor Dysfunct 20(1):75–81PubMedCrossRef

21.

Pacquée S, Palit G, Jacquemyn Y (2008) Complications and patient satisfaction after transobturator anterior and/or posterior tension-free vaginal polypropylene mesh for pelvic organ prolapse. Acta Obstet Gynecol Scand 87(9):972–974PubMedCrossRef

22.

Sergent F, Gay-Crosier G, Bisson V et al (2009) Ineffectiveness of associating a suburethral tape to a transobturator mesh for cystocele correction on concomitant stress urinary incontinence. Urology 74(4):765–770PubMedCrossRef

23.

Altman D, Mellgren A, Blomgren B et al (2004) Clinical and histological safety assessment of rectocele repair using collagen mesh. Acta Obstet Gynecol Scand 83:995–1000PubMed

24.

Frederick RW, Leach GE (2005) Cadaveric prolapse repair with sling: intermediate outcomes with 6 months to 5 years of followup. J Urol 173:1229–1233PubMedCrossRef

25.

de Tayrac R, Gervaise A, Chauveaud A et al (2005) Tension-free polypropylene mesh for vaginal repair of anterior vaginal wall prolapse. J Reprod Med 50:75–80PubMed

26.

Deffieux X, de Tayrac R, Huel C et al (2007) Vaginal mesh erosion after transvaginal repair of cystocele using Gynemesh or Gynemesh-Soft in 138 women: a comparative study. Int Urogynecol J Pelvic Floor Dysfunct 18:73–79PubMedCrossRef

27.

Yan A, Anne M, Karine A et al (2004) Cystocele repair by a synthetic vaginal mesh secured anteriorly through the obturator foramen. Eur J Obstet Gynecol Reprod Biol 115:90–94PubMedCrossRef

28.

Nicita G (1998) A new operation for genitourinary prolapse. J Urol 160:741–745PubMedCrossRef

29.

Rogers RG, Coates KW, Kammerer-Doak D et al (2003) A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct 14(3):164–168PubMedCrossRef

30.

(2008) FDA public health notification: serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence. Food and Drug Administration (US), Center for Devices and Radiological Health, Rockville. Available at http://www.fda.gov/cdrh/safety/102008-surgicalmesh.html. Accessed 20 October 2008

Titel: Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review
verfasst von: Husam Abed
David D. Rahn
Lior Lowenstein
Ethan M. Balk
Jeffrey L. Clemons
Rebecca G. Rogers
For the Systematic Review Group of the Society of Gynecologic Surgeons
Publikationsdatum: 01.07.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 7/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1384-5

Neu im Fachgebiet Gynäkologie und Geburtshilfe

23.04.2024 | Medikamente in Schwangerschaft und Stillzeit | Nachrichten

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie

Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2011

Classification of mesh fiber exposure: reply

Contasure-Needleless® compared with transobturator-TVT® for the treatment of stress urinary incontinence

Degradation, infection and heat effects on polypropylene mesh for pelvic implantation: what was known and when it was known

Use of the Gynecare Prolift® system in surgery for pelvic organ prolapse: 1-year outcome

Classification of mesh fiber exposure: comment

Evaluation of urinary incontinence in pregnancy and postpartum in Curitiba Mothers Program: a prospective study

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie