It was reported via journal article: "title: bacteriological analysis of meshes removed for complications after surgical management of urinary incontinence or pelvic organ prolapse" authors: loïc boulanger, malik boukerrou, chrystèle rubod, pierre collinet, a.Fruchard, rené j.Courcol, michel cosson.Citation: int urogynecol j.2008; 19: 827¿831.Doi: 10.1007/s00192-007-0537-z.The aim of this study was to examine the role of bacterial infection in complications following surgical management of urinary incontinence and genital prolapse using meshes.A total of 16 prostheses (age range: 30 to 72 years old) were removed between november 2005 and july 2006 after treatment if either urinary incontinence or genital prolapse.Of which, 6 women with genital prolapse were treated by vaginal mesh procedure with anterior and posterior prosthesis: 4 patients by total vaginal mesh (tvm) using gynecare gynemesh soft mesh (ethicon), 1 patient by polypropylene mesh collagen coated ugytex and 1 patient by polyester mesh collagen coated cousin.One patient had only an anterior tvm and 1 patient had only 1 posterior tvm using gynecare gynemesh soft mesh.Two patients had laparoscopic sacrocolpopexy with mersuture polyester prostheses (ethicon).Four patients had suburethral slings; 3 patients with silicone-coated polyester and 1 patient with thermoformed polypropylene and central silicone core.The last 2 patients had transobturator mid-urethral slings with knitted prolene soft mesh (ethicon).Reported complications included patient 1 (gynecare gynemesh soft mesh) with anterior vaginal retraction and bacterial colonization of coagulase-negative staphylococcus, patient 2 (gynecare gynemesh soft mesh) with vaginal erosion and bacterial colonization of streptococcus salivarius, patient 3 (gynecare gynemesh soft mesh) with vaginal erosion and bacterial colonization of strepto agalactiae and propionibacterium acnes, patient 4 (gynecare gynemesh soft mesh) with perirectal infected hematoma and bacterial colonization of proteus mirabilis and coagulase-negative staphylococcus, patient 5 (gynecare gynemesh soft mesh) with fornix erosion and perirectal retraction and bacterial colonization of staphylococcus warneri, patient 6 (gynecare gynemesh soft mesh) with vaginal erosion and bacterial colonization of enterococcus faecalis, patient 7 (prolene soft mesh) with uretrovaginal fistula and bacterial colonization of streptococcus gordonii, patient 8 (prolene soft mesh) with bacterial colonization of strepto agalactiae, patient 15 (mersuture polyester prostheses) with vaginal erosion and bacterial colonization of strepto anginosus and prevotella corporis, and patient 16 (mersuture polyester prostheses) with vaginal erosion and bacterial colonization of strepto constellatus.It was reported that the isolated bacteria responsible for prosthetic infections in the excised mesh segment in this study were mainly resident and transient skin germs or bacteria of the vaginal flora.It may happen post-operatively as the vaginal flora comes in contact with the mesh prior to complete re-approximation of the vaginal mucosal closure.Bacterial colonization is an important consideration after mesh-augmented surgical repair of vaginal prolapse, and its exact role must be explored by other experimental studies.
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