Genital Prolapse Surgery: What Options Do We Have in the Age of Mesh Issues?

Abstract

Here, we describe the current laparoscopic procedures for prolapse surgery and report data based on the application of these procedures. We also evaluate current approaches in vaginal prolapse surgery. Debates concerning the use of meshes have seriously affected vaginal surgery and threaten to influence reconstructive laparoscopic surgery as well. We describe the option of using autologous tissue in combination with the laparoscopic approach. Study data and problematic issues concerning the existing techniques are highlighted, and future options addressed.

Keywords

• pelvic floor repair
• laparoscopic repair
• vaginal repair
• mesh use
• native tissue