INTRODUCTION: Prosthetic reinforcement by the vaginal approach for surgical repair of @entity3577 is experiencing increasing popularity despite problems with tolerance. The most frequently described complication is prosthesis exposure, also known as erosion or @entity738 . The mechanism is associated with defective vaginal healing and is independent of @entity281 such as @entity12945 . OBJECTIVES: The purpose of our study was to define the course of this complication and the best therapeutic strategy for @entity1 with prosthesis exposure. MATERIALS AND METHOD: Our continuous and retrospective study conducted over a period of 24 months between January 2002 and December 2003 recorded 34 files. These @entity1 underwent prosthetic treatment via the vaginal approach of genital prolapse associated with prosthesis exposure. The procedure, known as TVM (Tension free Vaginal Mesh), involves the insertion without fixing of a synthetic prosthesis in areas of @entity8376 . RESULTS: In 33 cases out of 34, the exposure site was located on the anterior colpotomy scar (97%). These prosthesis exposures were managed in two stages, using antiseptic treatment first. This treatment cured 9 @entity1 (26.47%). In the event of failure, a procedure was carried out under brief general anesthesia on an outpatient basis or during a 24-hour hospital stay. This single resection was sufficient for 20 @entity1 (88%). Two @entity1 nevertheless required a second removal procedure (8%) and one @entity1 a third procedure (4%). To notice, one @entity1 presented with a @entity1494 after resection. This observation of a @entity1494 following partial removal led us to recommend a blue test and/or cystoscopy as routine practice for each procedure. CONCLUSION: With this new vaginal approach for prolapse repair, it is important to monitor prosthesis exposure. To manage exposures, it is necessary to begin with antiseptic or estrogenic treatment. In the event of failure, a partial resection is warranted. We recommend careful prosthesis resection and systematic verification of the bladder.

[Prosthetic reinforcement by the vaginal approach after surgical repair of XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity738 :: ('MESH:D006099', 'Disease') :: ['granuloma'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder-vagina fistula'] @entity281 :: ('MESH:D007239', 'Disease') :: ['major infection'] @entity12945 :: ('MESH:D010249', 'Disease') :: ['pelvic cellulitis'] @entity8376 :: ('MESH:D014625', 'Disease') :: ['bladder-vagina and rectum-vagina detachment'] @entity3577 :: ('MESH:D056887', 'Disease') :: ['pelvic prolapse']
@entity3577 :: (MESH:D056887,Disease) :: ['pelvic prolapse']
