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Int Neurourol J > Volume 14(1); 2010 > Article
Clinical Investigation
International Neurourology Journal 2010;14(1): 34-42.
DOI: https://doi.org/10.5213/inj.2010.14.1.34   
Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse.
Young Suk Lee, Deok Hyun Han, Soo Hyun Lim, Tae Heon Kim, Myung Soo Choo, Ju Tae Seo, Jeong Zoo Lee, Byung Soo Chung, Jeong Gu Lee, Kyu Sung Lee
1Department of Urology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea. ksleedr@skku.edu
2Department of Urology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
3Department of Urology, Kwandong University, College of Medicine, Seoul, Korea.
4Department of Urology, Pusan National University, College of Medicine, Busan, Korea.
5Department of Urology, Hallym University, College of Medicine, Seoul, Korea.
6Department of Urology, Korea University, College of Medicine, Seoul, Korea.
ABSTRACT
PURPOSE
To evaluate the efficacy and safety of the tension-free placement of a monofilament polypropylene mesh for the repair of an anterior vaginal wall prolapse (AVWP).
MATERIALS AND METHODS
Women aged > or = 30 years with an AVWP stage of II or greater were included. Forty-nine women underwent trans-vaginal repair using a Gynemesh(TM) PS. Forty-six women who had symptomatic stress urinary incontinence received a midurethral sling (MUS). At the 12-month follow-up, evaluations were made for changes in the Pelvic Organ Prolapse Quantification (POP-Q) stage and Pelvic Floor Distress Inventory. Cure was defined as a POP-Q stage of 0 and improvement as a stage of I. Complications were also evaluated.
RESULTS
The cure rate was 71.4%, and the improvement rate was 18.4%. Obstructive/discomfort, irritative, and stress subscale scores of the Urinary Distress Inventory anterior and posterior subscale scores of the POP Distress Inventory and the obstructive subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. Thirty-two of the 46 women (69.6%) who received MUS procedures reported no leakage after surgery. Complications were 2 cases of increased intraoperative bleeding and 1 case of vaginal erosion.
CONCLUSIONS
Trans-vaginal repair using a Gynemesh(TM) PS is a feasible and effective procedure for the treatment of AVWP with no significant complications.
Keywords: Pelvic organ prolapse; Lower urinary tract symptoms; Surgery


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