Biomaterials for Pelvic Floor Reconstructive Surgery: How Can We Do Better?

Table 1

Classification of synthetic materials used in pelvic floor reconstruction.

Type	Mesh pore size	Structure	Polymer	Trade name	Company
I	Macroporous; >75 m	Monofilament	Polypropylene	Uretex	C. R. Bard
				Gynecare TVT	Ethicon, Johnson & Johnson
				Bard Mesh	Bard/Davol
				SPARC	American Medical Systems
				In-Fast	American Medical Systems
				Monarc	American Medical Systems
				Lynx	Boston Scientific
				Advantage	Boston Scientific
				Obtryx	Boston Scientific
				Optilene	B. Braun
				Aris	Mentor Corp
				Perigee	American Medical Systems
				Parietene	Covidien
				Intepro	American Medical Systems
				Gynecare Prolift	Ethicon, Johnson & Johnson
				Surgipro	Covidien
				Prolene	Ethicon, Johnson & Johnson
				Prolene Soft	Ethicon, Johnson & Johnson
				Gynemesh PS	Ethicon, Johnson & Johnson
				Atrium	Atrium Medical
				Marlex	C. R. Bard
		Multifilament	Copolymer of glycolide (90%) and lactide (10%)	Vicryl	Ethicon, Johnson &Johnson
			Polypropylene and polyglecaprone	Vypro	Ethicon, Johnson & Johnson
				UltraPro	Ethicon, Johnson & Johnson
			Polyglycolic acid	Dexon	Davis and Geck
II	Macroporous <10 m	Multifilament	Expanded PTFF	GORE-TEX	W. L. Gore
			Polyethylene terephthalate	Mersuture	Ethicon, Johnson & Johnson
III	Macroporous with microporous components; <10 m	Multifilament	PTFE	Teflon	C. R. Bard
			Polyethylene terephthalate	Mersilene	Ethicon, Johnson & Johnson
			Polypropylene	IVS Tunneller	Tyco Healthcare
			Woven polyester	Protegen	Boston Scientific
IV	Nanoporous; <1 m	Multifilament	Silicon-coated polyester	Intermesh	American Medical Systems
			Dura mater substitute	PRECLUDE MVP Dura substitute	W. L. Gore
			Expanded PTFE, pericardial membrane substitute	PRECLUDE Pericardial Membrane	W. L. Gore