Resumen

GRANDE, José  y  DELGADO-CHUECAS, David. Use of a synthetic monoprosthesis of monofilament, macropore, polypropylene mesh for the simultaneous cure of cystocele and the stress urinary incontinence. Rev Med Hered [online]. 2010, vol.21, n.2, pp.84-90. ISSN 1018-130X.

Objectives: To describe the technique for the simultaneous cure of cystocele and the stress urinary incontinence (SUI) using, polypropylene mesh, based on the "Nazca TC POP Repair System". Materials and methods: Retrospective, descriptive study, case series type. We included 69 patients, operated in two centres, a public and a private one, between May 2007 and April 2008 in Lima - Perú. We compiled the data of 56 patients until three months post surgery. Results: The most important complications were: mesh erosion 4/69 (5.7%), prolapse relapse 1/56(1.7%), SUI persistence 1/56 (1.7%), urinary retention 11/69 (15.9%).We also had urinary tract infection 16/69 (23.18%), vaginal cupula infection 9/69 (13.04%) and hematoma 3/69 (4.34%). The cure rate with POP-Q system scores three months after surgery was 53/56 (94.64%) for cystocele and the patient satisfaction was 54/56 (96.42%). For SUI, the subjective efficacy for cure was 48/56 (85.71%), improvement in 7/56 (12.5%) and failure in 1/56 (1.78%). Conclusions: The use of monoprothesis can be an effective and sure procedure to repair the prolapse of anterior vaginal wall and SUI. (Rev Med Hered 2010;21:84-90).

Palabras clave : Pelvic organ prolapse; cystocele; stress urinary incontinence (SUI).

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