Objectives. We evaluated the results of surgical insertion of a polypropylene mesh via the vaginal route in young women presenting genital prolapse. Material and methods. Retrospective study concerning 20 women under ...Objectives. We evaluated the results of surgical insertion of a polypropylene mesh via the vaginal route in young women presenting genital prolapse. Material and methods. Retrospective study concerning 20 women under age 50 who underwent between July 2000 and December 2003 surgical insertion of an anterior (n = 14), posterior (n = 3) or double (anterior and posterior) (n = 3) polypropylene mesh via the vaginal route. A minimum follow-up of 6 months was required for inclusion in the study. Anatomical results were assessed using the Pelvic Organ ProlapseQuantification (POP- Q) according to ICS (International Continence Society) recommendations. To document the functional results, the patients answered 3 validated self-assessment questionnaires related to pelvic symptoms, sexual behaviors and quality of life. Results. Mean follow-up was 21 months (6 to 52 months). A vaginal erosion of the mesh occurred in 2 women (10% ). Cystocele recurred in one woman among the 17 patients who had an anterior polypropylenemesh (GynemeshTM, Gynecare ,Ethicon ). Seventeen women were sexually active before the surgical procedure and 19 post-operatively. Among these women, 5 (26% ) reported alteration of sexual activity after surgery (with dyspareunia in 4 cases (21% ), and 14 women (74% ) reported no changes or improvement in sexual activty. Conclusion. Surgical management of genital prolapse using a polypropylene mesh inserted via the vaginal route has proven its anatomical efficacy in young women. The potential adverse consequences on sexual life would require clinical research concerning the surgical approach (abdominal or vaginal route) and synthetic materials used in prolapse surgery for young women.展开更多
文摘Objectives. We evaluated the results of surgical insertion of a polypropylene mesh via the vaginal route in young women presenting genital prolapse. Material and methods. Retrospective study concerning 20 women under age 50 who underwent between July 2000 and December 2003 surgical insertion of an anterior (n = 14), posterior (n = 3) or double (anterior and posterior) (n = 3) polypropylene mesh via the vaginal route. A minimum follow-up of 6 months was required for inclusion in the study. Anatomical results were assessed using the Pelvic Organ ProlapseQuantification (POP- Q) according to ICS (International Continence Society) recommendations. To document the functional results, the patients answered 3 validated self-assessment questionnaires related to pelvic symptoms, sexual behaviors and quality of life. Results. Mean follow-up was 21 months (6 to 52 months). A vaginal erosion of the mesh occurred in 2 women (10% ). Cystocele recurred in one woman among the 17 patients who had an anterior polypropylenemesh (GynemeshTM, Gynecare ,Ethicon ). Seventeen women were sexually active before the surgical procedure and 19 post-operatively. Among these women, 5 (26% ) reported alteration of sexual activity after surgery (with dyspareunia in 4 cases (21% ), and 14 women (74% ) reported no changes or improvement in sexual activty. Conclusion. Surgical management of genital prolapse using a polypropylene mesh inserted via the vaginal route has proven its anatomical efficacy in young women. The potential adverse consequences on sexual life would require clinical research concerning the surgical approach (abdominal or vaginal route) and synthetic materials used in prolapse surgery for young women.
