Anterior and Posterior Repair with Polypropylene Mesh (Prolift~R) for Pelvic Organ Prolapse: Retrospective Review of the First 323 Patients

摘要

Background: Recently, the technique for the repair of pelvic organ prolapse has shifted from conventional colporrhaphy to the use of meshes. In this article, we report our experience with the first 323 patients treated with the Prolift~R (Ethicon, Som-merville, NJ) Gynecare mesh. Methods: We performed a retrospective review of all 323 patients who received a Prolift mesh since we adopted the procedure. We evaluated patient characteristics as well as intra- and postoperative problems and compared our outcomes to the literature. We divided complications in to the following groups: intraoperative, early postoperative, and late postoperative. The most prevalent late postoperative problems were postoperative stress incontinence, erosion, and recurrence of prolapse. Results: Our figures were comparable to those previously reported: 20.1% incontinence, 11.5% erosions, and 2.5% recurrence. According to a Medline search performed in January 2009, our study appears to be the largest group and longest follow-up of this type of mesh. Conclusions: More studies are needed to evaluate suggested ways to reduce the occurrence of incontinence, mesh erosion, and recurrence of prolapse.