Title: transvaginal repair of vault prolapse with full length polypropylene mesh at low cost.This study demonstrates the use of an improvised full length multi-tailed soft polypropylene mesh for vault prolapse which is cheap and with minimum complications.This is a case series of the use of mesh in 37 consecutive cases (mean age was 60 and age range: 45 to 78 years old) of vault prolapse treated by the author from february 2008 to december 2009.The gynemesh ps gynecare mesh was shaped from soft macroporous monofilament polypropylene available as sheets of 10 x 15 centimeters size.Three pieces of 3.3 centimeters width and 15 centimeters length were cut from each sheet and formed the central core.The full length mesh was laid to support the bladder, vault, and rectum.Reported complication included mesh erosion in 1 patient (anterior vaginal wall 3 cm above external urethral meatus).This patient did not have any symptoms and was also not sexually active.Hence, no action was taken to the event.It was concluded that the present technique with improvised mesh has given very good surgical results with very low complication rates and extremely high patient satisfaction.
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