Surgical management of pelvic floor prolapse in women using mesh

Objective: To evaluate surgical handling, prolapse correction and complication rate of polypropylene mesh. Methods: A retrospective review of patients who had pelvic floor repair using polypropylene mesh(PPM) and intra-vaginal sling(IVS), between January 2003 and July 2005. All patients were followed-up for a period of 6weeks to 12months.The effectiveness and complications following PPM insertion were carefully documented. Results: A total of 57 repairs of various types of prosthetic materials were carried out over the study period. 30 patients had polypropylene mesh inserted, while 27had IVS. Of the patients who had PPM inserted 27(90%) had successful repair after 12 months follow-up, while 3(10%) had failed repair. Most of these patients had previous vaginal surgery. The main complication of PPM was vaginal erosion in 3(10%) patients Conclusion: Polypropylene mesh (Prolene) is a simple effective method of treatment of pelvic floor prolapse. It is associated with minimal complications.