Efficacy of Pelvisoft® Biomesh for cystocele repair: assessment of long-term results

Abstract

Our results show that the use of Pelvisoft® biomaterial associated with anterior colporrhaphy for cystocele repair appears to be safe with acceptable failure and complication rates at long term. Nevertheless, an adverse impact on sexual function was reported by the majority of patients.

Long‐term follow‐up of anterior vaginal repair: A comparison among colporrhaphy, colporrhaphy with reinforcement by xenograft, and mesh

“…Moreover, a few papers presenting a low objective cure rate (≤50%) have nonetheless reported a high subjective success rate of greater than 80% . Only a few papers have reported a mean period of follow‐up reaching 2 years …”

“…In the AC‐P group, we only found one early case of exposure, and no patient developed exposure as a late complication. In the literature, all the reported exposures of acellular porcine dermis were detected early on, and no patient developed this complication late …”

“…When AC treatment is performed the complication rate is generally low, and varies from 0% to 3% . Studies reporting the use of Porcine Xenograft generally show a higher variability in the complication rate, which ranges from 1.4% to 24.1%, early erosion and transient urinary retention are the most common complications …”

Effects of mesh surgery on sexual function in pelvic prolapse and urinary incontinence

“…Sexuality is a complex process associated with neurological, vascular and endocrine systems (1). Sexuality is one of the main factors affecting the general health status and quality of life of women (2,3). Sexual dysfunction in women is a complex problem that is affected by many bio-logical, psychological and individual factors.…”

“…Pelvic organ prolapse refers to the outflow or sagging of the bladder, uterus, vagina, small intestine, or rectum of the pelvic floor organs, down the vaginal canal or anus as a result of prolapse. Pelvic organ prolapse, usually in postmenopausal or climacteric period, may be observed sometimes in young women who wish to maintain fertility (1)(2)(3)(4). Pelvic floor disorders such as urinary incontinence/pelvic organ prolapse are seen commonly among women at all ages and are not just a long-lasting medical problem but also has negative physiologic, psychological, hygienic, economic and sexual effects which all can be summed up under the term "quality of life" (5).…”