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Updated: Jun 26, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Laparoscopic apical mesh excision for deep dyspareunia caused by mesh banding in the vaginal apex
M Sami Walid1, Richard L Heaton
1Medical Center of Central Georgia, Macon, GA 31201, USA. mswalid@yahoo.com
Background:
Gynecare Prolift has been successfully used for pelvic floor repair with favorable objective and subjective outcomes. There have been, however, increasing reports of significant rates of postoperative dyspareunia and impairment of sexual function.
Materials And Methods:
We are presenting two cases of post Prolift dyspareunia. The patients underwent several vaginal revisions with excision of the apical bands. However, they returned soon with the same complaint. Ultimately, laparoscopic excision of the apical mesh was performed.
Results:
Patients reported significant improvement in their intercourse pain after the procedure.
Conclusion:
Our experience shows that new onset dyspareunia is primarily caused by the apical component of the Prolift system with deep penetration pain reproduced by pressure on the fixed nondistensible apex. This problem can be treated laparoscopically with excision of the apical mesh.
