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June 2006 · Vol. 18, No. 6

SURGICAL TECHNIQUES

Cystocele and rectocele repair: More success with mesh?

Graft materials have been used for years in other types of surgery. Can they reduce the high failure rate of prolapse repairs?


Fast Track

Women whose prolapse recurs are more likely to have yet another recurrence

Synthetic grafts tend to have slightly higher success rates; biologic grafts tend to be better tolerated

Sylvia  M.  Botros,  MD

Senior Research Fellow, Evanston Continence Center, Evanston Northwestern Healthcare, Northwestern University Feinberg School of Medicine,  Evanston, Ill

Peter  K.  Sand,  MD

Director, Division of Urogynecology; Director, Evanston Continence Center; Professor of Obstetrics and Gynecology, Evanston Northwestern Healthcare Medical Group,  Evanston, Ill

IN THIS ARTICLE

CASE Symptoms point to yet another prolapse recurrence

A 52-year-old woman presents with a bulge and pressure in her vagina. She has undergone 2 prior reconstructive surgeries. The first was a vaginal hysterectomy, anterior and posterior repair, and sling; the second was an abdominal procedure that included a sacrocolpopexy and paravaginal repair.

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