Iatrogenic Pelvic Pain: Surgical and Mesh Complications

Dominic Lee, John Chang, Philippe E. Zimmern

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

Female stress urinary incontinence and pelvic organ prolapse are prevalent conditions in adult women. Among treatment alternatives, more traditional methods of surgical intervention have been supplanted by synthetic polypropylene mesh kits. However, novel complications with mesh-related exposure, pelvic pain alone or with dyspareunia, and increased incidence of revision surgeries, resulted in 2 FDA warnings on transvaginal mesh use for prolapse repair. This review examines the anatomy of the vagina and urethra, the etiology of pain related to mesh use, and the relevant surgical techniques for management of this complication along with their outcomes.

Original languageEnglish (US)
Pages (from-to)603-619
Number of pages17
JournalPhysical Medicine and Rehabilitation Clinics of North America
Volume28
Issue number3
DOIs
StatePublished - Aug 1 2017

Keywords

  • Chronic pelvic pain
  • Prolapse
  • Stress urinary incontinence
  • Synthetic midurethral sling
  • Vaginal mesh

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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