TREATMENT OF PELVIC ORGANS PROLAPSE WITH POLYPROPYLENE MESH
Abstract
Background. Since 2005 we have been used new treatment methods for pelvic organs prolapse with polypropylene mesh systems. These methods have been shown as successful, reliable and had minor post treatment complications. In the following study we showed the results of operative treatment of pelvic organs prolapse with mesh placement at Department of Gynecology and Obstetrics at Celje General Hospital in 2008.
Methods. We analysed a group of 80 female patients who had PERIGEE, APOGEE or PROLIFT mesh placement for pelvic organs prolapsed repair. The complications during the operation, 14 days and 4 weeks after operation, possible reoperations and women satisfaction after procedure were followed. We used data from patient’s medical documentation.
Results. 80 women with pelvic organs prolapse were operated at the Department of Gynecology and Obstetrics in 2008 at Celje General Hospital. We placed the PERIGEE system to 40 (50.0 %), APOGEE to 11 (13.7 %), PERIGEE and APOGEE to 23 (28.8 %) and PROLIFT system to 6 (7.5 %) of them. The mesh systems were placed either alone or with another surgical procedure (hysterectomy, cervix removal, tension free vaginal tape – TVT, laparoscopy). 13 (16.2 %) operated women did have complications during or after surgical procedure. 4 weeks after the operation 8 (10.0 %) women complained about symptoms similar to those before the operation. The treatment failure was obvious as well. 2 (2.5 %) women had the same symptoms as before the operation and also voiding problems (urinary incontinence or retention). 11 (13.7 %) women had voiding problems as well. The other complications were: vaginal erosio, unclear abdominal pain and obstipatio. 54 (67.5 %) women were completely satisfied with procedure and had no complications. They were well after check up as well.
Conclusions. The patients in this study mostly had complications when we used both – mesh placement and another surgical procedure (hysterectomy, TVT, elongated cervix removal). It is necessary to follow results of the study in the future in order to show success of pelvic organs prolapsed repair with polypropylene mesh.
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