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Current Urology Reports
Published in: Current Urology Reports 3/2012

01-06-2012 | Female Urology (A Gousse, Section Editor)

What is the Gold Standard for Posterior Vaginal Wall Prolapse Repair: Mesh or Native Tissue?

Authors: Brian K. Marks, Howard B. Goldman

Published in: Current Urology Reports | Issue 3/2012

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Abstract

Reports in the literature of high recurrence rates after native tissue repair for pelvic organ prolapse led to the development of alternative techniques, such as those using synthetic mesh. Transvaginal mesh (TVM) delivery systems were implemented in search of better outcomes. Despite reported recurrence as low as 7.1 % after posterior colporrhaphy, mesh kits were developed to correct posterior compartment prolapse. There is a paucity of data to substantiate better results with TVM for rectocele repair. Three randomized controlled trials comparing native tissue repair to synthetic mesh reported posterior compartment outcomes and two of these failed to show a significant difference between groups. Complications of TVM placement are not insignificant and mesh extrusion was reported in up to 16.9 %. Based on currently available data, native tissue repairs have similar outcomes to synthetic mesh without the risks inherent in mesh use and remain the standard of care for the typical patient.
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Metadata
Title
What is the Gold Standard for Posterior Vaginal Wall Prolapse Repair: Mesh or Native Tissue?
Authors
Brian K. Marks
Howard B. Goldman
Publication date
01-06-2012
Publisher
Current Science Inc.
Published in
Current Urology Reports / Issue 3/2012
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-012-0248-y

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