Introduction and Objectives: Transobturator vaginal mesh is commonly used for the treatment of female stress urinary incontinence. Complications of transobturator mesh may include hip, groin, or leg pain that can occasionally be debilitating. Total removal of mesh may resolve or improve pain symptoms but can be a challenging or daunting procedure. In this video we present the technique of the c...

Introduction: We aim to report outcomes and predictors of outcome of transvaginal mesh (TVM) for pelvic organ prolapse (POP). We also report frequency, severity, risk factors, and management of mesh-related complications after TVM. Materials and Methods: We performed retrospective chart review of TVM performed from 2005 to 2010. There were 67 patients followed for a mean duration of eighteen mo...

The understanding of the pathophysiology of female sexual dysfunction suffers from the lack of a convenient model for the study of female genital sexual response. In this study, systemic arterial blood pressure (BP) as well as partial oxygen tension, temperature, and blood engorgement of the vagina [using laser-Doppler flowmetry in arbitrary units (AU)] were measured in anesthetized, ovariectom...

rent paraesophageal hernia by means of laparoscopic hiatal reinforcement using a 12 ” 10−cm titanium−covered polypropy− lene mesh. He began to experience non− specific epigastric abdominal discomfort 10 months later. An upper endoscopy re− vealed the presence of mesh at the gas− troesophageal junction (l" Fig. 1), which was then removed endoscopically, using grasping forceps (l" Fig. 2). Since ...

OBJECTIVE To compare the use of polypropylene mesh (PM) and the traditional anterior vaginal wall colporraphy in women with anterior vaginal wall prolapse (AVWP) using objective and subjective tests and evaluation of quality of life (QoL). MATERIALS AND METHODS One hundred women were randomly distributed in two preoperatory groups. The first group (mesh) (n = 45) received a PM implant and the...

OBJECTIVE To measure the effects of estrogen, progesterone and polypropylene mesh on vaginal smooth muscle cell proliferation. METHODS Primary smooth muscle cell (SMC) cultures were performed from vaginal biopsies which were then incubated with estradiol (0.1 microM, 1 microM, 10 microM), progesterone (5 nM, 50 nM, 0.5 microM), or polypropylene mesh to assess cell proliferation. RESULTS In ...

Assessment of study quality The studies were graded as poor, average or good for internal and external validity. The grading for internal validity was based on an assessment of bias, confounding and the role of chance; the grading for external validity was based on the population, inclusion or exclusion criteria and follow-up. Each study was also assigned a level of evidence from I (highest) to...

The aim of this study was to assess urinary bladder histopathology induced by the sling materials tension-free vaginal tape (TVT), vypro mesh, and intravaginal slingplasty (IVS). Thirty rats were studied: sham-operated controls, TVT, vypro, and IVS groups. After laparotomy, a 0.5- "e 1-cm piece of mesh was implanted on the anterior bladder wall. The bladder was examined histopathologically afte...

OBJECTIVES To assess the long-term outcomes of laparoscopic promontofixation (LP) for the treatment of pelvic organ prolapse (POP). METHODS A total of 501 consecutive patients with POP were included in this prospective study. The patients' mean age was 63.23 (36-90) years, their mean body mass index was 25.14 (15-36) and their mean number of deliveries was 3.3 (0-14). A POP grade ≥3 was diagn...

Pelvic organ prolapse (POP) is a very common condition in elderly women. In women with POP, a sacrocolpopexy or a vaginal hysterectomy with anterior and posterior colporrhaphy has long been considered as the gold standard of treatment. However, in recent decades, the tendency to use a vaginal approach with mesh for POP surgery has been increasing. A vaginal approach using mesh has many advantag...