Journal of obstetrics and women's diseasesJournal of obstetrics and women's diseases1684-04611683-9366Eco-Vector263610.17816/JOWD62251-62Research ArticleModern approaches to the problem of genital prolapse by vaginal access use of syntheticmaterials in urogynecologyGusevaYevgeniya SergeyevnaPhD student, department of Operative Gynecologyiag@mail.ruD. O. Ott Research Institute of Obstetrics and Gynecology, RAMS15052013622516215052013Copyright © 2013, Guseva Y.S.2013The article represents the basic stages of appearance and improvement of genital prolapse correction techniques by vaginal access: from plastic ones using patient’s tissue to using mesh implants, from trocar techniques of correction to trokarless ones, from anchored mesh implants to emergence of nonanchored devices. The article highlights the main mesh-associated complications and shows their possible solutions by different authors. Great attention is given to the modern technique of genital prolapse correction with the usage of trokarless nonanchored ProsimaTM system and vaginal support device, which provides optimal results at minimal invasiveness.genital prolapsetrocar and trokarless techniques of correction of genital prolapsemesh-associated complicationstrokarless nonanchored ProsimaTM system and vaginal support deviceпролапс гениталийтроакарные и бестроакарные методики коррекции генитального пролапсаmesh-ассоциированные осложнениябестроакарная система ProsimaTM с поддерживающим устройством VSD[Беженарь В. Ф., Богатырева Е. В. Диагностика и хирургическое лечение ректоцеле при пролапсе тазовых органов с использованием системы ProliftTM // Журнал акушерства и женских болезней. — 2010. — Т. LIX, вып. 2. — С. 12–20.][Беженарь В. Ф., Богатырева Е. В. Новые возможности хирургической коррекции тазового пролапса с использованием синтетических имплантов: пути профилактики послеоперационных осложнений // Акушерство. Гинекология. Репродукция. — 2012. — Т. 6, № 2. — С. 6–13.][Краснопольский В. И., Попов А. А. Вагинальная экстраперитонеальная кольпопексия (метод Prolift) — новый взгляд на хирургию генитального пролапса // Акушерство и гинекология. — 2007. — № 2. — С. 51–55.][Куликовский В. Ф., Олейник Н. В. Тазовый пролапс у женщин: руководство для врачей. — М: ГЭОТАР-Медиа, 2008. — 256 с.][Первый опыт применения в России бестроакарных сетчатых технологий в лечении больных с тазовым пролапсом /Гвоздев М. Ю. [и др.] // Российский вестник акушера-гинеколога. — 2012. — № 5. — С. 57–63.][Сравнительная оценка результатов лапароскопической сакровагинопексии и вагинальной экстраперитонеальной вагинопексии (PROLIFT) в лечении генитального пролапса / Попов А. А., Петрова В. Д., Шагинян Г. Г. [и др.] // Журнал акушерства и женских болезней. — 2006. — Спецвып. — С. 83.][Решение проблемы тазового пролапса при помощи системы Prosima / Полянин Д. Ф. [и др.] // Журнал акушерства и женских болезней. — 2011. — Т. LX. — Спецвып. — С. 67.][A new operation for vaginal prolapse repair using mesh and a vaginal support device: 1 year anatomic and functional results of an international multicentre study / Zyczynski H. М. [et al.] // Int. Urogynecol. J. — 2009. — Vol. 20, suppl. 2. — P. 157–158.][Al-Salihi S., Lim J., Carey M. Video demonstration of vaginal surgery for prolapse using mesh and a vaginal support device // Int. Urogynecol. J. — 2009. — Vol.20, suppl. 2. — P. 188–189.][Anatomical cadaver study of pelvic floor reconstruction using a new polypropylene implant vaginal repair system and a vaginal support device / Reisinauer C. [et al.] // Int. Urogynecol. J. — 2009. — Vol. 20, suppl. 2. — P. S200.][Anatomic study of prolapse surgery with nonanchored mesh and a vaginal support device / Reisenauer Christl [et al.] // Am. J. Obstet. Gynecol. — 2010. — Vol. 203. — Р. 590–591.][Anterior colporrhaphy: a randomized trial of three surgical techniques / Weber A. M. [et al.] // Am. J. Obstet. Gynecol. — 2001. — Vol. 185. — Р. 1299–1304.][Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse / Altman D. [et al.] // N. Engl. J. Med. — 2011. — Vol. 364, N 19. — Р. 1826–1836.][Baginska J. E. Prosima — a new device for pelvic organ prolapse repair. An initial experience // Eur. Urol. — 2011. — Vol. 10, N 9, suppl. — Р. 622.][Bako A., Dhar R. Review of synthetic mesh-related complications in pelvic floor reconstructive surgery // Int. Urogynecol. J. Pelvic. Floor.Dysfunct. — 2009. — Vol. 20. — Р. 103–111.][Carey M., Higgs P., Goh J. Vaginal repair with mesh versus colporrhaphy for prolapse: a randomised controlled trial // BJOG. — 2009. — Vol.116. — Р. 1380–1386.][Changes in the extracellular matrix in the anterior vagina of women with or without prolapse / Lin S. Y. [et al.] // Int. Urogynecol. J. Pelvic Floor Dysfunct. — 2007. — Vol.19. — Р. 43–48.][Changing attitudes on the surgical treatment of urogenital prolapse: birth of the tension-free vaginal mesh / Debodinance P. [et al.] // J. Gynecol. Obstet. Biol. Reprod. — 2004. — Vol. 33. — P. 577–588.][Clinical experience of a novel vaginal support device and balloon used to simplify mesh augmented vaginal surgery for prolapse / Slack M. [et al.] // Int. Urogynecol. J. — 2009. — Vol. 20, suppl. 2. — Р. 486–487.][Comparison of prevalence of hypoactive sexual desire disorder (HSDD) in women after five different hysterectomy procedures / Lermann J. [et al.] // Eur. J. Obstet. Gynecol. Reprod.Biol. — 2013. — Vol. 167, N 2. — P. 210–214.][Complication and reoperation rates after apical vaginal prolapsed surgical repair: a systematic review / Diwadkar G. B. [et al.] // Obstet. Gynecol. — 2009. — Vol. 113. — Р. 367–373.][Complications requiring reoperation following vaginal mesh kit procedures for prolapse / Margulies R. U. [et al.] // Am. J. Obstet. Gynecol. — 2008. — Vol. 199. — Р. 678.][DeLancey J. Anatomy and biomechanics of genital prolapsed // Clin. Obstet. Gynecol. — 1993. — Vol. 36, 4. — P. 897–909.][DeLancey J. The anatomy of the pelvic floor // Curr. Opinion in Obstet. Gynecol. — 1994. — Vol. 6. — P. 313–316.][Deprest J., Feolа A. The need for preclinical research on pelvic floor Reconstruction // Int. J. Obstet. Gynecol. — 2013. — Vol. 120. — P. 141–143.][Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence / Olsen A. L. [et al.] // Obstet. Gynecol. — 1997. — Vol. 89. — Р. 501–506.][Handa V., Cundiff G., Chang H. Female sexual function and pelvic floor disorders // Obstet. Gynecol. — 2008. — Vol.111. — Р. 1045–1052.][Haylen B. T., Freeman R. M., Swift S. E. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor surgery // Neurourol. Urodyn. 2010. — Vol. 29, N 1. — Р. 4–20.][Hegde C. V. Revised use of mesh in vaginal pelvic organ prolapse surgery — an overview // J. Obstet. Gynecol. India. — 2011. — Vol. 61, N 4. — Р. 381–383.][Hurtado E. A., Appell R. A. Management of complications arising from transvaginal mesh kit procedures: a tertiary referral center’s experience // Int. Urogynecol. J. Pelvic Floor Dysfunct. — 2009. — Vol. 20. — Р. 11–17.][Jeffery S. T., Nieuwoudt A. Beyond the complications: medium — term anatomical, sexual and functional outcomes following removal of trocar — guided transvaginal mesh. A retrospective cohort study // Int. Urogynecol. J. — 2012. — Vol. 23, N 10. — P. 1391–1396][Lifetime risk of undergoing surgery for pelvic organ prolapse/Smith F. J. [et al.] // Obstet. Gynecol. — 2010. — Vol. 116. — Р. 1096–1100.][Lin Tzu-Yin, Su Tsung-Hsien, Huang Wen-Chu. Polypropylene mesh used for adjuvant reconstructive surgical treatment of advanced pelvic organ prolapsed // J. Obstet. Gynaecol. Res. — 2010. — Vol. 36, N.5. — Р. 1059–1063.][Long-term treatment outcomes of transvaginal mesh surgery versus anterior — posterior colporrhaphy for pelvic organ prolapse / Cao Q. [et al.] // Aus. N. Z. J. Obstet. Gynaecol. — 2013. — Vol. 53, N 1. — Р. 79–85.][Lucente V., Murphy Miles, Saiz C. Vaginal Prolapse Repair: Suture Repair Versus Mesh Augmentation // Controversies in Female Pelvic Reconstruction. — 2012. — Vol. 39, N 3. — P. 325–333.][Luft J. Pelvic organ prolapse: current state of knowledge about this common condition // J. Nurse. Pract. — 2006. — Vol. 2. — Р. 170–177.][Medium-term clinical outcomes following surgical repair for vaginal prolapse with tension-free mesh and vaginal support device / Sayer T. [et al.] // Int. Urogynecol. J. — 2012. — Vol. 23, N 4. — Р. 487–493.][Muffly T. M., Barber M. D. Insertion and removal of vaginal mesh for pelvic organ prolapse // Clin. Obstet. Gynecol. — 2010. — Vol. 53, N 1. — Р. 99–114.][Marcus-Braun N., von Theobald P. Mesh removal following transvaginal mesh placement: a case series of 104 operations // Int. Urogynecol. J. Pelvic Floor Dysfunct. — 2010. — Vol. 21. — Р. 423–430.][Nieminen K., Hiltunen R., Takala T. Outcomes after anterior vaginal wall repair with mesh: a randomized, controlled trial with a 3 year follow-up // Am. J. Obstet. Gynecol. — 2010. — Vol. 203. — Р. 235–238.][Nilsson C. G., Falconer C., Rezapour M. Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence // Obstet. Gynecol. — 2004. — Vol. 104. — Р. 1259–1262.][Nygaard I. E., McCreery R., Brubaker L. Abdominal sacrocolpopexy: a comprehensive review // Obstet. Gynecol. — 2004. — Vol. 104. — Р. 805–823.][One-year clinical outcomes after prolapse surgery with nonanchored mesh and vaginal support device / Zyczynski H. M. [et al.] // Am. Obstet. Gynecol. — 2010. — Vol. 203, N 6. — Р. 587–589.][Open mesh versus non-mesh for repair of femoral and inguinal hernia / Scott N. W. [et al.] // Cochrane Database Syst Rev. — 2002. — Vol. 4. — P. CD002197.][Outcomes of anterior vaginal wall repair using polypropylene mesh / Huser M. [et al.] // Česka Gynecol. — 2012. — Vol. 77, N 5. — Р. 407–413.][Petros P. E., Ulmsten U. I. An integral theory of female urinary incontinence: experimental and clinical considerations // Acta Obstet. Gynecol. Scand. — 1990. — Vol.153, suppl. — Р. 7–31.][Prospective study on total pelvic reconstruction surgery with Prosima in the treatment of pelvic organ prolapse stage III /Chen J. [et al.] // Zhonghua Fu Chan Ke Za Zhi. — 2012. — Vol. 47, N 9. — Р. 664–668.][Resposiveness of the PFDI-20 and PFIQ-7, 12 months following vaginal prolapse repair augmented by mesh and a vaginal support device / Sikirica V. [et al.] // Int. Urogynecol. J. — 2009. — Vol. 20, suppl. 2. — P. 207–208.][Ridgeway B., Walters M. D., Paraiso M. F. Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits // Am. J. Obstet. Gynecol. — 2008. — Vol. 199. — Р. 703–707.][Safety of Trans Vaginal Mesh procedure: retrospective study of 684 patients / Caquant F. [et al.] // J. Obstet. Gynaecol. Res. — 2008. — Vol. 34, N 4. — P. 449–456.][Sivaslioglu A. A., Unlubilgin E., Dolen I. A randomized comparison of polypropylene mesh surgery with site — specific surgery in the treatment of cystocoele // Int. Urogynecol. J. Pelvic. Floor Dysfunct. — 2008. — Vol. 19. — Р. 467–471.][Surgical management of mesh-related complications after prior pelvic floor reconstructive surgery with mesh / Myrthe M. Tijdink. [et al.] // Int. Urogynecol. J. — 2011. — Vol. 22. — Р. 1395–1404.][Symptomatic pelvic organ prolapse at midlife, quality of life, and risk factors / Fritel Xavier [et al.] // Obstet. Gynecol. — 2009. — Vol. 113, N 3. — Р. 609–616.][Swift S., Woodman P., O’Boyle A. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects // Am. J. Obstet. Gynecol. — 2005. — Vol. 192. — Р. 795–806.][Swift S. E. The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care // Am. J. Obstet. Gynecol. — 2000. — Vol. 183. — Р. 277–285.][The Relationship between pelvic organ prolapse, genital body image, and sexual health / Zielinski R. [et al.] // Neurourology and Urodynamics. — 2012. — Vol. 31. — Р. 1145–1148.][Togami J. M., Brown E., Winters J. C. Vaginal mesh — the controversy // Med. Rep. — 2012. — Vol. 4. — P. 21][Townsend P. A., Afremov M. Apparatus and method for pelvic floor repair in the human female // United States Patent Application Publication. — 2011. — Vol. 20. — Р. 1–19.][Transvaginal prosima mesh and high uterosacral ligament suspension in the treatment of severe pelvic organ prolapsey / Wang W. Y. [et al.] // Zhonghua Fu Chan Ke Za Zhi. — 2012. — Vol. 47, N 7. — Р. 500–504.][Trocar-guided mesh versus conventional vaginal repair in recurrent prolapse; randomized controlled trial / Withagen M. [et al.] // Obstet. Gynecol. — 2011. — Vol. 117, N 2, pt. 1. — Р. 242–250.][Trocarless system for mesh attachment in pelvic organ prolapse repair — 1year evaluation / Menachem Alcalay [et al.] // Int. Urogynecol. J. — 2011. — Vol. 22. — Р. 551–556.][Ulmsten U., Herniksson L., Johnson P. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence // Int. Urogynecol. J. Pelvic Floor Dysfunct. — 1996. — Vol. 7. — Р. 81–85.][Uterosacral ligament in postmenopausal women with or without pelvic organ prolapse / Gabriel B. [et al.] // Int. Urogynecol. J. Pelvic Floor Dysfunct. — 2005. — Vol.16. — Р. 475–479.][Vaginal surgery for pelvic organ prolapse using mesh and a vaginal support device / Carey M. [et al.] // BJOG. — 2008. — Vol. 115. — Р. 391–397.][Young S. B., Schaffer J. E., Howard A. E. Society of gynecologic surgeons’ (SGS) survey: mesh use in vaginal prolapse surgery // J. of Pelvic Med. Surg. — 2010. — Vol. 16, N 6. — Р. 336–339.]