Valoración de la satisfacción del paciente a medio plazo tras reparación del prolapso urogenital con malla de polipropileno

Abstract

ObjectiveTo evaluate the satisfaction rate among women who underwent repair of urogenital prolapse using polypropylene meshes. Material and methodWe performed a retrospective, non-randomized study in 106 patients who had undergone different kinds of urogenital prolapse repairs using polypropylene meshes between April 2005 and January 2007. Follow-up consisted of 2 visits to the hospital, 2 and 6 months after surgery. Subsequently, the information was analyzed descriptively. ResultsThe mean age was 64.4 years. The rate of multiparous and postmenopausal women was 91.51% and 92.45%, respectively. The most frequently used surgical technique was anterior mesh placement with a tension-free band (34.90%) to correct associated urinary incontinence. The complications rates were as follows: intraoperative complications (2.83%), immediate complications (37.73%), and late complications (21.69%). The success rate after 6 months was 80%-100%, depending on the technique. The satisfaction rate varied between 50%-100% and also depended on the technique. ConclusionsDespite the low rate of intraoperative and medium-term complications in the reconstructive surgery of pelvic floor for urogenital prolapses using polypropylene meshes, the satisfaction rate depended heavily on the kind of mesh use. The lowest rates were found in posterior meshes and when surgery for urinary incontinence was associated.