Surgery for genitourinary prolapse: prosthesis or no prosthesis?
Ballanger, P.
Annales d'Urologie 39(Suppl 5): S132-S136
2005
ISSN/ISBN: 0003-4401 PMID: 16425731 Document Number: 593041
In view of the limits of traditional surgery in the restoration of a normal vaginal anatomy and function in genitourinary prolapse, the use of either of synthetic, or more recently biological prosthetic materials, appears to be a necessity. Among synthetic materials, a macroporous net made of a wide mesh of knitted polypropylene monofilaments is currently the reference product for prosthetic surgery of urogenital prolapsus, laparoscopic promontofixation, but also, for the treatment of the cystoceles by the endovaginal route. Materials of human origin are apparently more flexible and the first results seem to show reduced erosion rate, but longer follow-up is required to specify their role in routine practice.