The experience of mesh endoprostheses in the present stage to address the pelvic prolapsed
Purpose: To evaluate the efficacy and safety of mesh endoprostheses in women with genital prolapse. Material and methods: examined and operated on 83 patients with genital prolapse using mesh implants. The period of observation was from 6 months to 2 years. The age of patients was 45 76 years. All patients were clinical, laboratory, instrumental examination. According to the testimony were complete urodynamic study, ultrasonography, magnetic resonance imaging. Examined patients were divided according to the classification POP Q (ICS 1996) as follows: I group 33 (39,8%) women with genital prolapse stage IV, II group 29 (34.9%) patients with genital prolapse stage III and III group was 21 (25.3%) women with genital prolapse stage II. Stress incontinence was diagnosed in 19 (22.9%) patients: in group I in 7 (21,2%) women in group II in 7 (24,1 %) patients in group III in 5 (23,8%) patients. In addition to the standard survey we assessed the severity of dysplasia syndrome, connective tissue. Results: Vaginal hysterectomy performed in 65 patients with benign diseases of the uterus. All women were operated on using mesh implants. Intraoperative complications urinary bladder injury arose in 1 (1.2%) patients, 2 patients (2.4%) women in the early postoperative period revealed a hematoma in the postoperative zone volume of 100 150 ml. That required its evacuation, and the imposition of secondary seams. Dynamic observation of relapse genital prolapse was not. Thus, the observation showed the high efficiency of mesh prostheses forthe treatment of genital prolapse in women, as well as the relatively low intra and postoperative complications.