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

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 phy...

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Bibliographic Details
Published in:International Urogynecology Journal 2008-12, Vol.19 (12), p.1611-1616
Main Authors: Nieminen, Kari, Hiltunen, Reijo, Heiskanen, Eila, Takala, Teuvo, Niemi, Kirsti, Merikari, Mauri, Heinonen, Pentti K.
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Original Article
Sexual disorders
Surgery
Urology
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Summary: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  
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-008-0707-7