Ontology type: schema:ScholarlyArticle
2012-04-18
AUTHORSXavier Deffieux, Thibault Thubert, Renaud de Tayrac, Hervé Fernandez, Vincent Letouzey
ABSTRACTIntroduction and hypothesisThe surgical treatment of a cystocele via the vaginal route may require the placement of a synthetic mesh below the bladder. However, the placement of a synthetic mesh via the vaginal route can be associated with specific complications, such as vaginal mesh exposure. There is a lack of data concerning the long-term follow-up of asymptomatic persistent vaginal polypropylene mesh exposure.MethodsThis was a retrospective case series of nine patients presenting with persistent vaginal mesh exposure following the placement of a macroporous monofilament polypropylene mesh for cystocele treatment. Expectant management has been proposed since the patients were asymptomatic.ResultsThe median follow-up duration was 121 months [interquartile range (IQR) 119–132]. The median surface area of vaginal mesh exposure (1 cm2; IQR 1–1) did not change significantly during the follow-up. No pelvic or perineal abscess occurred during the follow-up. Only one of them was sexually active; she complained of dyspareunia at the last follow-up, but refused renewed surgery since she had sexual intercourse on only a small number of occasions per year. Clinical examination using the International Continence Society Pelvic Organ Prolapse Quantification system: Ba −3 to −2 (n = 7; 88 %), Ba −1 (n = 1; 12 %), Ba 0 or greater (n = 0).ConclusionsPersistent asymptomatic vaginal polypropylene mesh exposure is associated with few complications at long-term follow-up. More... »
PAGES1387-1390
http://scigraph.springernature.com/pub.10.1007/s00192-012-1741-z
DOIhttp://dx.doi.org/10.1007/s00192-012-1741-z
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PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/22527543
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