Has anyone had a successful anterior wall repair with biological graft?

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I had a hysterectomy and sacrocolpopexy for prolapse nearly 2 years ago. Soon after prolapse recurred. Have stage 3 cystocele and 2 rectocele. I Have 2 surgical options.( Pessaries failed) option 1: traditional repair. Option 2: anterior wall repair with biological mesh/ graft. I can't find much information on biological mesh (plenty on the horrors of synthetic mesh)

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  • Posted

    You've made me change my mind on the porcine repair! I don't think it was my Urogynae who said porcine wasn't strong enough. But he pretty much convinced me that post-menopausal that your tissues aren't often very strong and the mesh would hold in my case really well. There is definately cases of mesh being put in too tight or not tight enough so there is certainly an art to doing it exactly right. Only much experience can make sure of that I guess. I was very confident my Dr. had done hundreds. He said they used to have the mesh up under neck of bladder but have more recently worked out mid-urethra is the best position. I hope mine holds forever! But....... I also already had a posterior prolapse so have to face that repair one day. It was only grade 1 & he felt that having the anterior prolapse out of the way that maybe the posterior one would take longer to get worse. Fingers crossed.

    • Posted

      I had a porcine repair and it will be 7 years in July since my operation. I expect mine to last for many more years and my urogynaecologist agrees. At the time not much was known about it and my case was used in a study and followed up regularly.

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