I had a total hysterectomy , vaginal vault suspension to sacralspinal ligament, A/P repair in feb. rectocele resolved, vaginal cuff good, cystocele returned and getting worse. I am 50 yo, I run, bike ,strength train and I am a nurse in open heart surgery, The complication rates with mesh are not acceptable, especially for a active person. what are my options? I am trying a pessary but it makes me sore and only works at times. I am healthy otherwise and do not want to sit on my behind,
Your experience is not uncommon. Traditional "native tissue" repairs of the anterior vaginal wall have a failure rate of as high as 40% in some studies. Unfortunately your options are limited without the use of mesh. You might consider a graft such as Biodesign SIS, Axis dermis, or another absorbable material. These have a better success rate but still have a 15 to 20% failure rate in my practice. thank you for your question.
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