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The use of Bovine Pericardium Graft (BPG) in Anterior Colporrhaphy; a review of the literature and a retrospective study

Introduction: Bovine Pericardium Graft (BPG) is a non-synthetic mesh, used in cases of anterior vaginal prolapse reconstructive operation in Urogynecology. Little is known about the efficacy of this mesh and more empirical studies need to clarify its potential benefits as well as, mesh-associated complications of this type. The role of the mesh, though needs, further assessment. Methods: A review on the literature regarding the use of Bovine pericardium Graft in anterior colporrhaphy has been conducted. Retrospective data from our Department in the University Hospital of Ioannina Greece regarding 80 women, who underwent anterior colporrhaphy with the use of BPG, was analyzed and further evaluated. Women were examined using the POP-Q system after surgery and 24 months later. Results: Resolution of the prolapse was achieved in the vast majority of the patients (78/80 = 97.5%). Patients with 3rd stage of prolapse were 100% cured after surgery. Forty-eight patients had remaining prolapse of stage 1 and the remaining four patients achieved stage zero (0). Discussion: Although the number of patients is quite small and the data is retrospective, it seems that the BPG has a beneficial role in anterior colporrhaphy. International literature remains controversial in assessing its true value and potential risks. Conclusion: Retrospective data from the University Hospital of Ioannina, Greece, shows promising results in the use of Bovine Pericardium Graft use during anterior colporrhaphy.