Advanced mesh implants for vaginal pelvic floor reconstruction:
report of 100 prolift operations
Menahem Neuman, Michael Friedman Urogynecology, Department of
Gynecology, Shaare Zedek, the Ben-Gurion University of the Negev.
BACKGROUND: While attending to women presenting with pelvic
floor relaxation and pelvic organ prolapse, both with intact uterus
or after hysterectomy, urogynecologists are constantly looking for
simple, safe and effective ways to cure this supportive pelvic floor
defect. A novel surgical technique, the Prolift mesh operation, was
reported recently entailing both a high therapeutic rate and a low
AIM: To evaluate the preliminary data of first 100 Prolift
METHODS: A total of 100 patients with advanced pelvic floor
supportive defects and pelvic organ prolapse underwent the Prolift
RESULTS: The Prolift procedure does not require laparotomy.
Intra-operative and post operative complications were recorded.
Hospitalization period was relatively short. All patients but five
(5%) reported satisfaction with the therapeutic results. Three
patients had bladder penetration and were treated with surgical
closure at the same session, three patients had tape protrusion that
was removed successfully at the outpatient clinic and one patient
had therapeutic failure.
CONCLUSIONS: The Prolift is a novel operation, designed to
cure advanced pelvic floor relaxation, reduce complication rate and
rehabilitation period. The results of this series agree with
previously reported efficacy, safety and simplicity of this
procedure. However, more long-term data is required for drawing
solid conclusions concerning the superiority of the discussed
operative technique. Mesh-terms: Aged; Equipment Design; Female;
Humans; Hysterectomy :: adverse effects; Middle Aged; Prostheses and
Implants; Reconstructive Surgical Procedures :: methods; Treatment
Outcome; Uterine Prolapse :: etiology; Uterine Prolapse :: surgery;
Vagina :: surgery;
Source:Harefuah. 2007 Dec ;146