Vaginal vault prolapse following cystectomy: transvaginal reconstruction by mesh interposition

Int Urogynecol J. 2013 Aug;24(8):1407-9. doi: 10.1007/s00192-012-1922-9. Epub 2012 Sep 7.

Abstract

The present study aims to introduce a transvaginal interposition of polypropylene mesh as a reproducible procedure for women with vaginal vault prolapse following cystectomy due to bladder carcinoma. No recurrent prolapse occurred in two cases 16 and 4 months after the operation. With apical fixation of the mesh, vaginal length can be maintained. No perioperative complications appeared. Performing the technique in a reproducible way seems feasible irrespective of differing anatomical conditions.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / surgery
  • Aged
  • Cystectomy / adverse effects*
  • Female
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Patient Satisfaction
  • Pelvic Organ Prolapse / diagnosis
  • Pelvic Organ Prolapse / etiology*
  • Pelvic Organ Prolapse / surgery*
  • Plastic Surgery Procedures / methods*
  • Polypropylenes
  • Surgical Mesh*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Urinary Bladder Neoplasms / surgery
  • Vagina / surgery

Substances

  • Polypropylenes