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The length of mesh used in sacrocolpopexy and subsequent recurrence of prolapse
HENDRIK S. CRONJÉ1, JOHAN A. A. DE BEER1, ETIENNE W. HENN11Obstetrics and Gynaecology Department, University of the Free State, Bloemfontein, South Africa
Objective: :to determine the incidence of recurrent prolapse in different length categories of mesh along the vagina at sacrocolpopexy, performed in the division of urogynaecology in a university teaching hospital.
Patients and Methods: :A retrospective analysis was done from a urogynaecological data base, reviewing 301 patients who underwent sacrocolpopexy. They were analysed twice: firstly for the anterior mesh and secondly for the posterior mesh. Both anteriorly and posteriorly, they were categorized into three groups: with mesh from the vaginal vault, from the mid-vagina and from the vaginal introitus, both anteriorly and posteriorly, extending to the sacrum. The recurrence rate for prolapse was determined for each category.
Results: :Of the 301 patients, all were followed postoperatively for a mean period of 34 months (range 9-63 months). For each category, the recurrence rate for prolapse was as follows: anterior from vault (A1) 15.4% (n=26), from mid-vagina (A2) 8.3% (n=193), and from introitus to sacrum (A3) 2.4% (n=82). Posteriorly, the recurrence rates were as follows: from vault (P1) 23.7% (n=38), from mid-vagina (P2) 22.8% (n=44) and from introitus (P3) 3.2% (n=219). Statistically significant differences were found between A1 and A3, as well as between P1 and P3.
Conclusion: :With extension of the mesh along the vaginal walls during sacrocolpopexy, the incidence of recurrent prolapse decreased significantly.
Cite This Article
CRONJÉ H, DE BEER J, HENN E. The length of mesh used in sacrocolpopexy and subsequent recurrence of prolapse. 2013; 32(2): 45-48
Corresponding Author: CRONJÉ H.
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