Surgical Treatment To Greater Anterior Vaginal Prolapse

A Randomized Controlled Trial Study, To Compare Colporrhaphy Versus NAZCA TC™ ,Macroporous Polypropylene Mesh, In Surgical Treatment To Greater Anterior Vaginal Prolapse .

A RCT study to compare traditional colporrhaphy versus polypropylene mesh in treatment of the anterior vaginal wall prolapse.

Seventy patients with greater anterior vaginal prolapse, whit stress incontinence or not, were randomly assigned to either colporrhaphy or polypropylene mesh repair( NAZCA TC™ POP REPAIR SYSTEM) . The primary outcome was recurrent anterior vaginal prolapse, and secondary outcomes were effects on quality of life and sexual symptom scores, operative time, length of hospitalization, and adverse events.

Inclusion Criteria:

• Women 50 years and older with greater anterior vaginal prolapse,whit stress incontinence or not,point (Ba)ics96, below hymenal ring requiring surgical correction were eligible for participation.

Exclusion Criteria:

Patients were excluded if they had:

• Stage 0 or I (ics96) anterior vaginal support
• Declined participation
• Were pregnant or contemplating future pregnancy
• Had prior anterior vaginal prolapse repair with biologic or synthetic graft
• Active or latent systemic infection
• Compromised immune system
• Uncontrolled diabetes mellitus,
• Previous pelvic irradiation or cancer
• Known hypersensitivity to polypropylene.