Prolift meshversuspolypropylene mesh in the whole pelvic floor reconstruction

Yang Xiao-hui; Zhao Zhi-ying

doi:10.3969/j.issn.2095-4344.2016.34.017

Abstract：BACKGROUND:A large number ofstudiesfocused onmeshapplicationin the whole pelvic floor reconstructive surgery, but the comparative researchon the Prolift meshandpolypropylene mesh (Gynemesh) in the whole pelvic floor reconstructionisrarely reported. <br> OBJECTIVE:To compare the Prolift mesh with Gynemesh in the whole pelvic floor reconstructive surgery. <br> METHODS:Totaly 90femalepatients with pelvic organ prolapsewereenroled, aged40 to 80 years old, and were randomly divided into Prolift group and Gynemesh group, who were subjectedto ful pelvic floor reconstruction with Prolift mesh or Gynemesh, respectively.Afterwards,operation time, intraoperative blood loss, postoperative vaginal bleeding, hematoma, local paresthesia, urinary retention, overactive bladder, residual urine, postoperative incision infection, mesh exposure and postoperative quality of life were comparedin two groups. <br> RESULTS AND CONCLUSION:No hematoma, local paresthesia, urinary retention and rejection reactions appeared in both two groups. The operation time, intraoperative blood residual urine, length of stay, catheter retention time had no significant differences between two groups. In the Prolift group, one casehad a smal amount of vaginal bleeding, one case had overactive bladder, five cases had mesh exposure at the anterior wal of vaginal, and two cases had light stress urinary incontinence; inthe Gynemesh group, no vaginal bleeding, overactive bladder and stress urinary incontinence occurred, but four cases had mesh exposure at the anterior wal of vaginal.Additionaly,thescores on the quality of life inthe two groups at the last folow-upwere significantly lower than those before surgery (P< 0.05),but there was no significant difference between the two groups (P> 0.05). These results demonstrate that both Prolift system and Gynemesh aresafe and effective for the whole pelvic floor reconstruction,resulting infew postoperative complications.Patients can quickly recover,andobtain satisfactory outcomes.