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Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review

International Urogynecology Journal, 2011-07, Vol.22 (7), p.789-798 [Peer Reviewed Journal]

The International Urogynecological Association 2011 ;ISSN: 0937-3462 ;EISSN: 1433-3023 ;DOI: 10.1007/s00192-011-1384-5 ;PMID: 21424785

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Title:
Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review
Author: Abed, Husam ; Rahn, David D. ; Lowenstein, Lior ; Balk, Ethan M. ; Clemons, Jeffrey L. ; Rogers, Rebecca G.
Subjects: Dyspareunia - epidemiology ; Dyspareunia - etiology ; Female ; Granulation Tissue ; Gynecology ; Humans ; Incidence ; Medicine ; Medicine & Public Health ; Original Article ; Pelvic Organ Prolapse - surgery ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - therapy ; Surgical Mesh - adverse effects ; Urology ; Vagina - surgery
Is Part Of: International Urogynecology Journal, 2011-07, Vol.22 (7), p.789-798
Description: Introduction and hypothesis This study describes the incidence, risk factors, and treatments of graft erosion, wound granulation, and dyspareunia as adverse events following vaginal repair of pelvic organ prolapse with non-absorbable synthetic and biologic graft materials. Methods A systematic review in Medline of reports published between 1950 and November 2010 on adverse events after vaginal prolapse repairs using graft materials was carried out. Results One hundred ten studies reported on erosions with an overall rate, by meta-analysis, of 10.3%, (95% CI, 9.7 – 10.9%; range, 0 – 29.7%; synthetic, 10.3%; biological, 10.1%). Sixteen studies reported on wound granulation for a rate of 7.8%, (95% CI, 6.4 – 9.5%; range, 0 – 19.1%; synthetic, 6.8%; biological, 9.1%). Dyspareunia was described in 70 studies for a rate of 9.1%, (95% CI, 8.2 – 10.0%; range, 0 – 66.7%; synthetic, 8.9%; biological, 9.6%). Conclusions Erosions, wound granulation, and dyspareunia may occur after vaginal prolapse repair with graft materials, though rates vary widely across studies.
Publisher: London: Springer-Verlag
Language: English
Identifier: ISSN: 0937-3462
EISSN: 1433-3023
DOI: 10.1007/s00192-011-1384-5
PMID: 21424785
Source: MEDLINE
Alma/SFX Local Collection
ProQuest Central

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Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review

The International Urogynecological Association 2011 ;ISSN: 0937-3462 ;EISSN: 1433-3023 ;DOI: 10.1007/s00192-011-1384-5 ;PMID: 21424785

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