The reconstruction of anterior compartment defects using magnetic resonance (MR)-visible vaginal mesh implants in combination with post-surgical three-dimensional (3-D) imaging is feasible and yields reproducible results, Kerstin Brocker, MD, MSc, reported at the 2017 International Continence Society annual meeting in Florence, Italy.
Results to date suggest “this technique works very well,” said Dr. Brocker, of the department of obstetrics and gynecology, Heidelberg University Hospital, Heidelberg, Germany. “It gives us an option to 3-dimensionally recognize what actually happened to the mesh after it was implanted.”
Dr. Brocker reported results based on six women who have been treated in a proof-of-concept multicenter study. All subjects had symptomatic Pelvic Organ Prolapse Quantification System (POP-Q) grade III cystoceles.
They were treated with the partially absorbable anterior vaginal propylene mesh, which is MR-visible due to an iron compound that is applied to its surface. The mesh has six fixational arms, including middle and anterior arms that are placed through the obturator foramen, and posterior arms that are fixed in the sacrospinous ligaments.
The procedures were successful in all six women, and on follow-up examinations at 3 months and 1 year post-procedure, there were no adverse events, erosion, dyspareunia, or recurrent cystoceles, according to Dr. Brocker.