Polypropylene mesh implants for the correction of pelvic organ prolapse (POP) are now available in Japan. We developed an innovative approach for correcting POP by placing polypropylene mesh transvaginally with laparoscopic assistance. From June 2007 through March 2010, sixteen consecutive patients with symptomatic stage 2 or 3 pelvic organ prolapse underwent the laparoscopic-assisted tension-f...

OBJECTIVES To assess the perioperative complications and short-term outcomes of prolapse repair using transvaginal polypropylene mesh. STUDY DESIGN Retrospective study. In the period from April 2007 to September 2009, 67 women underwent vaginal repair with implantation of a soft mesh manufactured by Gynecare. RESULTS All the patients had a stage 3 or stage 4 prolapse. Total mesh was used in...

OBJECTIVE To assess the cost effectiveness of tension-free vaginal tape compared with open Burch colposuspension as a primary treatment for urodynamic stress incontinence. DESIGN Cost-utility analysis alongside a multicentre randomised comparative trial. SETTING Gynaecology or Urology departments in 14 centres in the UK and Ireland, including University-associated teaching hospitals and dis...

Objective. To evaluate efficacy in terms of vaginal capacity, coital function, and recurrence prevention of a new biological mesh of bovine pericardium (Tutomesh) in the repair of severe POP. Methods. Thirty cases of patients suffering from stage III uterine or apical prolapse undergone surgical repair by means of a modified sacrospinous ligament suspension combined with mesh attachment to both...

Surgical meshes have been used since the 1950s to repair abdominal hernias. Implantable meshes have played a significant role in the treatment of complex hernias and other abdominal wall reconstruction procedures. In the 1990s, gynecologists began using the same surgical mesh for surgical treatment of Stress Urinary Incontinence – SUI – the first procedure was called the tension free vaginal ta...

BACKGROUND Urethral dilation has been recommended to treat voiding dysfunction that may occur after placement of tension-free vaginal tape (TVT) for the treatment of stress urinary incontinence. We report on a case of urethral erosion by the tape secondary to repetitive urethral dilations after surgery. CASE A urethral erosion by the tape was diagnosed by cystoscopy after three urethral dilat...