Advanced Genital Prolapse - Mesh Surgical Treatment.

Genital prolapse represents a frequent pathology in women associating various uro-gynecological complications. The known risk factors are multiple births, menopause and obesity. Material and methods: In a retrospective study we have analyzed 15 women with advanced genital prolapse (grade III and IV). They all underwent mesh surgical procedures, according to their pathology. For the anterior prolapse we have used a four arm polypropylene mesh and for the posterior prolapse a two arm mesh anchored to the sacrospinous ligament. Results: Operating time and hospitalization were brief and no major intraoperatory complications occurred. The patients were discharged 2 - 3 days after the procedure, being periodically evaluated. After three months, two relapses occurred and vaginal hysterectomy and colpocleisis was performed. Conclusions: Genital prolapse represents a serious health condition, with direct impact on the normal social life and activities of women. With this kind of procedures, the operating time has been shortened, anatomical and functional results were excellent and due to the experience of the surgeons, the complications were practically absent. Classical surgical techniques such as perineoraphy are now becoming obsolete. [ABSTRACT FROM AUTHOR]