OBJECTIVE To compare the laparoscopic sacral colpopexy and total vaginal mesh for vaginal vault prolapse. STUDY DESIGN Women with symptomatic stage ≥2 vault prolapse were randomly allocated the laparoscopic sacral colpopexy (53) or total vaginal mesh (55). Primary outcome measures were objective success rates at pelvic organ prolapse quantification sites individually and collectively. Seconda...

Since Ulmsten and Petros’s original description of the tension-free vaginal tape (TVT) procedure in 1995, the midurethral sling (MUS) has become first-line therapy for correction of female stress urinary incontinence (SUI). Cure rates are high for TVT and the recent tension-free trans-obturator tape (TOT) procedures, and the incidence of side effects is low. In the past few years although sever...

Urinary incontinence is one of the most common functional pathologyfor women during the preand postmenopausalperiods [1]. Urethral hypermobility is the main anatomic abnormality in the pathogenesis of incontinent women [2]. Tension-free vaginal tape (TVT) is a commonly performed surgical technique for stress urinary incontinence (SUI). It ensures a suburetral vaginal hammock and its short-term ...

BACKGROUND Vaginal stones may form in the setting of mesh exposure with urinary incontinence. This report serves to help understand the presentation, evaluation, and management of vaginal urinary stones. CASE A 68-year-old female presented with a vaginal calculus. She had a history of anterior and posterior polypropylene mesh placement for prolapse 7 years earlier and urinary incontinence. Th...

Background: Complications associated with anterior vaginal wall mesh used during transvaginal surgery for prolapse occur more frequently than in other areas of the vagina. A vesicovaginal fistula is one of the rare complications of anterior vaginal wall mesh surgery. Case: A 69-year-old woman with a history of anterior vaginal wall prolapse developed a vesicovaginal fistula within days of under...

AIMS To assess safety, efficacy, and cost-effectiveness of trans-vaginal total pelvic floor repair with customized prolene mesh in patients with high-grade pelvic organ prolapse. MATERIALS AND METHODS A total of 32 patients, who underwent trans-vaginal total pelvic floor repair using a customized prolene mesh from January 2007 to June 2010 for grade III and IV pelvic organ prolapse, were anal...

Objective: The aim of this study was to compare the use of Polypropylene mesh (Prolene) and Sepramesh, a coated Polypropylene mesh with a protective layer of Seprafilm on its visceral side, for the repair of abdominal wall defects in horses. We also aimed to quantify the consequent visceral adhesion and tissue inflammatio Design: Experimental study. Animals: Ten horses. Methods: The horses w...

AIM The objective of this study was to investigate the clinical and ultrasonographic findings of women who had three-dimensional endovaginal ultrasound (EVUS) for the management of vaginal mesh complications. METHODS This was a retrospective study of patients that had EVUS due to mesh complications at a tertiary care center. The clinical charts were reviewed. The stored 3D volumes were review...