Ann Coloproctol.  2016 Feb;32(1):7-11. 10.3393/ac.2016.32.1.7.

Vaginal Approaches Using Synthetic Mesh to Treat Pelvic Organ Prolapse

Affiliations
  • 1Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. hdchae@amc.seoul.kr

Abstract

Pelvic organ prolapse (POP) is a very common condition in elderly women. In women with POP, a sacrocolpopexy or a vaginal hysterectomy with anterior and posterior colporrhaphy has long been considered as the gold standard of treatment. However, in recent decades, the tendency to use a vaginal approach with mesh for POP surgery has been increasing. A vaginal approach using mesh has many advantages, such as its being less invasive than an abdominal approach and easier to do than a laparoscopic approach and its having a lower recurrence rate than a traditional approach. However, the advantages of a vaginal approach with mesh for POP surgery must be weighed against the disadvantages. Specific complications that have been reported when using mesh in POP procedures are mesh erosion, dyspareunia, hematomas, urinary incontinence and so on, and evidence supporting the use of transvaginal surgery with mesh is still lacking. Hence, surgeons should understand the details of the surgical pelvic anatomy, the various surgical techniques for POP surgery, including using mesh, and the possible side effects of using mesh.

Keyword

Pelvic organ prolapse; Mesh

MeSH Terms

Aged
Dyspareunia
Female
Hematoma
Humans
Hysterectomy, Vaginal
Pelvic Organ Prolapse*
Recurrence
Urinary Incontinence
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