Uterine Prolapse Mesh

Treatments for Uterine Prolapse Using Mesh

General Information

In the treatment of uterine prolapse, synthetic or biological meshes can be used to support the pelvic organs. These methods are particularly preferred in advanced-stage prolapse.

What is Mesh?

Mesh is a synthetic or biological material used to support pelvic organs. The goal is to strengthen weakened connective tissues.

1. Sacrocolpopexy

It is one of the most common mesh-based methods. It can be performed laparoscopically or robotically. The vaginal vault or uterus is suspended to the sacrum with mesh.

Advantages

• High success rate
• Strong anatomical restoration
• Good long-term results

Disadvantages

• Longer surgical time
• Risk of mesh complications

2. Vaginal Mesh Applications

Pelvic organs are supported by placing mesh transvaginally. Currently, its use is limited due to complications.

Complications

• Mesh erosion (exposure into the vagina)
• Infection
• Pain
• Dyspareunia

Who is it Preferred for?

• Advanced-grade prolapse
• Recurrent prolapse
• Patients requiring strong support

Alternatives

• Uterus-preserving surgeries (hysteropexy)
• Vaginal hysterectomy + tissue repair

Post-Surgery

• Avoid heavy lifting for 4–6 weeks
• Sexual intercourse should be postponed
• Pelvic floor exercises are recommended

Clinical Fact

Mesh use is beneficial in selected patients but requires careful patient selection due to the risk of complications.

Conclusion

Prolapse surgeries performed with mesh provide strong support but should be planned individually, considering the risks.