The objective of the study is to determine the risk of erosion and extrusion after using type I polypropylene
mesh (Allograft) as an overlap graft for repair of vaginal wall prolapse with and without bridge repair.
Erosion and extrusion are usually easily treatable but sometimes may be troublesome to manage. Bridge
repair is a vaginal flap putted over mesh below site of incision to enforce it. 80 patients with vaginal wall
prolepses operated over 20 months (September 2013 – May 2015) using Type I mesh in four Libyan hospitals
and clinics , 35% (28 p) with anterior mesh repair for cystocele, 30% (24 p) with posterior mesh repair for
reconcile and 35% (28 p) with cystorectocele. In 40% of the patients, repair of defect is associated with other
vaginal operations. Half of the patients (40 p) had bridge repair along with mesh in repair of the defect.
Extrusion of the mesh occurred in 9 patients (11%), all of them are mesh repair without bridge enforcement,
three patients with anterior mesh repair and six patients with posterior mesh repair. No erosion seen in all
80 patients. Bridge enforcement along with mesh in repair of genital prolepses can reduce the risk of
extrusion almost to 0%.

Erosion, Anterior mesh repair (AMR), Posterior mesh repair (PMR), Bridge repair (BR), Anterior bridge
repair (ABR), Posterior bridge repair (PBR).


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