The role of vaginal graft procedures in pelvic organ prolapse reconstructive surgery

Abstract

Pelvic organ prolapse (POP) represents a risk in women who undergo surgical intervention such as histerectomy. In order to treat it, many surgeons started to use grafts implants in reconstruction of the pelvis. The latest studies showed the development of new grafts era, supporting its beneficial effect for the patients. In this respect, the treatment should be individualized and in particular cases the use of grafts should be taken into consideration. When comparing the graft with native tissue repair, the application of surgery on POP have been shown similar anatomical restoration, and grafts were attributed more complications, especially in the transvaginal implant. Although nowadays grafts represent the best tool for prolapsed repair, the ideal implant has not yet been developed. The present review tries to explain the role of synthetic or biological grafts and the therapeutic approaches of the POP.