Transvaginal mesh repair of the anterior and posterior compartments

ABSTRACT

The objective of the study is to determine and assess the efficacy and safety of a new technique using a polypropylene mesh [allograft] as an overlap graft for repair of anterior and posterior vaginal wall due to endopelvic fascia defect namely, vesicovaginal and rectovaginal fascia with and without urinary stress incontinence. Pelvic prolapse occurs in more than 20% of Libyan women. 50 patients with vaginal wall prolapse operated in Zawia teaching hospital, Elzahra general hospital, El-Zahrawy clinic and some other hospitals over 4 years [July 2003-June 2007] using polypropylene mesh. 16% with cystocele, 10% with rectocele, combined cystorectocele in 34% and remaining [40%] with other vaginal operations, 94% were above 50 years old. Success rate using Mesh is more than 95%,with very complications. Mesh simplifies the operation, reduces operation time, improves operation quality and reduces recurrence rate