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vol.72 issue2PÓLIPOS ENDOMETRIALES: MANEJO CON HISTEROSCOPIA QUIRÚRGICA Y CORRELACIÓN HISTOLÓGICASÍNDROME DE EISENMENGER Y EMBARAZO author indexsubject indexarticles search
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Revista chilena de obstetricia y ginecología

Print version ISSN 0048-766XOn-line version ISSN 0717-7526

Abstract

HOTT A, Humberto et al. REPARACIÓN DE PROLAPSO VAGINAL ANTERIOR CON MALLA DE PROLENE. Rev. chil. obstet. ginecol. [online]. 2007, vol.72, n.2, pp.120-124. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262007000200010.

Background: Repair of anterior vaginal prolapse present a high rate of recurrence. Anterior colporrhaphy plus prolene mesh is a surgical option with optimal long term results. Objective: To evaluate anatomical results and evolution of anterior colporrhaphy with prolene mesh. Method: A prospective cohort study was made to evaluate the surgical outcomes. Results: 35 patients were recruited with a median age of 61.4 years. 85.7% of them were in postmenopausal status and 3% were using hormone replacement therapy. Stress urinary incontinence was associated in 54.3% of the cases. The pelvic floor stage at entry was 31.4% cysthocele stage II, 48.6% stage III and 20% cysthocele stage IV. Uterine prolapse was present in 88.6% of cases and the posterior wall was compromised in 74.3%. There were no intraoperatory complications. Postoperatory complications occurred in 4 patients (11.4%). Only in one case the mesh eroded (2.9%). The follow up was from 1 to 11 months. Of the patients with cysthocele stage II at the moment of evaluation, 80% were at stage 0. For cysthocele stage III 72% turned to stage 0. 11% turned to stage I and 17% to stage II. The cases that presented cysthocele stage IV 71% were at stage 0 and 29% at stage II. Conclusion: This technique solved an important quality of life problem of the affected patients. A higher number of cases and time of follow up is needed to recommend this technique definitely

Keywords : Anterior vaginal prolapse; prolene mesh; cysthocele.

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