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Published in: International Urogynecology Journal 9/2007

01-09-2007 | Original Article

A long-term review of posterior colporrhaphy with Vypro 2 mesh

Authors: Yik Nyok Lim, Reinhold Muller, Audrey Corstiaans, Sarah Hitchins, Christopher Barry, Ajay Rane

Published in: International Urogynecology Journal | Issue 9/2007

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Abstract

The objective is to study the long-term outcomes of posterior colporrhaphy with composite polyglactin 910-polypropylene mesh (Vypro 2, Ethicon, Somerville, NJ, USA) utilizing an overlay technique. Seventy-eight patients involved in our previous study were contacted 3 years after their initial operation for follow-up (Lim YN, Rane A, Muller R, Int Urogynecol J 16:126–131, 2005). Thirty-seven (47%) returned for follow-up and completed a standardized questionnaire survey, whereas a further 16 (20%) returned their postal questionnaires. Mean age was 61.3 (SD 10.8) years, and follow-up was 35.7 (SD 4.5) months. There were statistically significant improvements in vaginal lump sensation and constipation (p < 0.001) but no differences with defecatory difficulties or dyspareunia. De novo dyspareunia was reported in 27%. On examination, the incidences of mesh vaginal erosion and rectocele recurrence were 30% and 22%, respectively. It appears that posterior colporrhaphy incorporating Vypro 2 mesh with an overlay method is associated with unacceptably high incidence of complications.
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Metadata
Title
A long-term review of posterior colporrhaphy with Vypro 2 mesh
Authors
Yik Nyok Lim
Reinhold Muller
Audrey Corstiaans
Sarah Hitchins
Christopher Barry
Ajay Rane
Publication date
01-09-2007
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 9/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-006-0290-8

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