Mesh vs. Traditional Colporrhaphy for Anterior Vaginal Prolapse

Trocar-guided transvaginal mesh kits were more effective but were associated with a higher rate of adverse events.

Anterior vaginal prolapse (cystocele) repair is the most common surgical treatment for pelvic-organ prolapse in U.S. women. Recurrence rates of ≥40% following traditional repair (colporrhaphy) have spurred development of new techniques involving synthetic materials that have yielded mixed results (JW Womens Health Aug 19 2010). Trocar-guided transvaginal polypropylene-mesh kits are now widely used, but clinical data are limited. In a partially manufacturer-supported multicenter trial, investigators in the Nordic Transvaginal Mesh Group randomized 389 women with symptomatic anterior vaginal defects to traditional colporrhaphy or to repair using transvaginal mesh kits (Gynecare Prolift Anterior Pelvic Floor Repair System; Ethicon). The primar…

Reviewing Author

Brent E. Seibel, MD

Mesh vs. Traditional Colporrhaphy for Anterior Vaginal Prolapse

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Reviewing Author