Management of recto-vaginal fistulas after prosthetic reinforcement treatment for pelvic organ prolapse

Table 1 Patient characteristics and details of surgery and follow-up

Patients No.	Age (yr)	Primary pathology POP surgery/type of PM	Onset of symptoms (mo)	Primary surgery	Delay to secondary surgery (mo)	Secondary surgery	Follow-up (mo)/Wexner score
1	73	Colpo-cystocele laparoscopic approach/two polypropylene meshes	24	Temporary colostomy + ablation of PM	6	Open proctectomy, omental patch + PI	36/3
2	65	Colpo-cystocele Bologna procedure/two polypropylene meshes	12	Laparoscopic ablation of PM	12	Open proctectomy, omental patch + PI	36/2
3	60	SUI Prolift® procedure/two polypropylene meshes	6	Transperineal ablation of PM	6	Hartmann	36/NA
4	52	Colpo-rectocele transabdominal approach/one polypropylene mesh	2	-	-	Open proctectomy, omental patch + PI	60/0
5	73	Cysto-colpocele transabdominal approach/one polypropylene mesh	48	-	-	Open proctectomy, omental patch + PI	6/0

POP: Pelvic organ prolapse; NA: Not applicable; PM: Prosthetic material; SUI: Stress urinary incontinence; PI: Protective ileostomy.