Open Access

HOW I DO IT

The surgical technique and early postoperative complications of the Gynecare Prolift pelvic floor repair system

Alvaro Lucioni, David E. Rapp, Edward M. Gong, William S. Reynolds, Paula A. Fedunok, Gregory T. Bales

Section of Urology, Department of Surgery, University of Chicago, Chicago, Illinois, USA
Address correspondence to Dr. David E Rapp, University of Chicago Pritzker School of Medicine, Section of Urology, MC 6038, 5841 S. Maryland Avenue, Chicago, IL 60637 USA

Canadian Journal of Urology 2008, 15(2), 4004-4008.

Abstract

Introduction: The Gynecare Prolift pelvic floor repair system (GPS) comprises a synthetic mesh placed via a transvaginal, transobturator approach. We present our technique focusing on the safety and feasibility of the GPS.
Materials and methods: GPS candidates are evaluated in the office with a full history, physical examination, urinalysis and when appropriate, urodynamic evaluation. Patients were offered total vaginal vault prolapse repair or isolated anterior repair dependent of site of defect. Follow-up comprised a full history, physical examination, and global assessment of subjective satisfaction (2 and 6 weeks, 6 months postoperative). Concentration was placed on intraoperative and short-term postoperative complications and assessment of prolapse recurrence.
Results: GPS prolapse repair has been used in 12 patients for anterior or total vault prolapse. Mean postoperative follow-up time is 42 weeks. There were no major perioperative complications. De novo enterocele development was seen in one patient without any other incidence of recurrence. No incidence of mesh erosion or sexual dysfunction has been observed.
Conclusions: The GPS is a safe and reproducible system for use in transvaginal repairs of vaginal vault prolapse. Long-term studies are needed to evaluate repair durability and for potential complications.

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