Format

Send to

Choose Destination
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1611-6. doi: 10.1007/s00192-008-0707-7. Epub 2008 Aug 21.

Symptom resolution and sexual function after anterior vaginal wall repair with or without polypropylene mesh.

Author information

1
Department of Obstetrics and Gynecology, Tampere University Hospital, P.O. Box 2000, 33521, Tampere, Finland. kari.t.nieminen@uta.fi

Abstract

To evaluate whether symptom resolution and sexual function is better after reinforcement with polypropylene mesh than with traditional anterior repair. Ninety-seven patients were randomized to anterior colporrhaphy and 105 to an operation with mesh. Participants were evaluated up to 24 months by physical examination, standard questions, and questionnaire. The overall symptom rate did not differ between the groups, but a sensation of vaginal bulge was reported less frequently in the mesh group, the figures being 17 versus 5 (p = 0.003). The recurrence rate for the no-mesh group was 41% and for the mesh group 11% (p < 0.001). The dyspareunia score was statistically significantly lower in the mesh group (p = 0.015). The mesh exposure rate was 8%. Sensation of vaginal bulge was relieved more efficiently by the mesh technique without causing dyspareunia.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00420225.

PMID:
18716704
DOI:
10.1007/s00192-008-0707-7
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center