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[Urogenital prolapse repair using polypropylene mesh]
Ignacio Zapardiel Gutiérrez1, Jesús de la Fuente Valero, Silvia Iniesta Pérez
1Departamento de Obstetricia y Ginecología, Hospital Universitario Santa Cristina, Madrid, España. ignaciozapardiel@hotmail.com
Background:
Urogenital prolapse is a condition that affects 1 to 43% of post-hysterectomized patients. Since several years some synthetic meshes have been used to repair pelvic floor, and apparently they have advantages over them predecessors.
Objective:
To evaluate the efficacy and security of polypropylene meshes in the repair of urogenital prolapse.
Material And Method:
Retrospective and non-randomized study in 106 patients that had different kinds of urogenital prolapse repaired using polypropylene meshes. The follow-up was carried out by two visits to the hospital, 2 and 6 months after surgery. The variables analyzed were age, parity, menopause presence, kind of surgical technique, surgical time, time at hospital and complications. Afterwards, the information was analyzed descriptively.
Results:
Average age was 64.4 years. The rate of multiparity and menopause women was 91.51% and 92.45% respectively. The most used surgical technique was the anterior mesh with tension-free band (34,90%) to repair the associated urinary incontinence. The rate of intraoperatory complications was 2.8%, immediate complications was 37.7% and late complications was 21.6%. The success rate after 6 months was 80 to 100%, depending on the technique.
Conclusions:
There is a low rate of intraoperatory and medium-term complications in the reconstructive surgery of pelvic floor for the urogenital prolapses using polypropylene meshes, which makes this technique a secure and effective option for the treatment of this problem.
