Prolapse surgeons have long faced a harsh reality. A large segment of our aging population will have surgery for pelvic organ prolapse and stress urinary incontinence, and many of these women will undergo a repeat operation as a result of recurrence. Deficient pelvic tissues are thought to predispose these women to treatment failure. Just as in abdominal wall or inguinal hernia surgery, prolapse surgeons began incorporating graft materials to reinforce these repairs. Coupled with intermediate failures of biological materials and the outstanding success of the mid urethral sling, the use of polypropylene mesh for prolapse seemed ideal. Unfortunately we have little controlled data and the optimal role of vaginal mesh for prolapse is not clearly defined.
展开▼
