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[Tension free monofilament polypropylene mesh in cystocele and rectocele concomitant repair]
V Solá Dalenz1, J Pardo Schanz, P Ricci Arriola
1Unidad de Uroginecología y Cirugía Vaginal, Departamento de Ginecología y Obstetricia, Clínica Las Condes, Santiago, Chile.
Objective:
We presented our experience in the concomitant correction of cystocele and rectocele with polypropylene monofilament mesh (Gynemesh PS), with transvaginal free tension technique.
Method:
During 2004 correction was made in 7 patients, Urogynecologic and Vaginal Surgery Unit of Gynecology and Obstetrics Department, Las Condes Clinic. Medium age 54 years old, weight 64 kgs. In four patients we used a third mesh for correction of urinary incontinence by TVT-O.
Results:
They don't present intraoperative complications, neither in immediate or delayed postoperative time. We not observed hematoma, infection, erosion or exposition mesh. Cure of cystocele and rectocele was in the 100% of patients. Complications have not appeared, 4 cases completed three months of observation, 2 cases two months and 1 case one month.
Discussion:
The use of protesic polypropylene multifilament macropore mesh in the concomitant correction of cistocele and rectocele, by transvaginal route with tension free technique seems to be a safe and effective surgery procedure.
