Is pain relief after vaginal mesh and/or sling removal durable long term?

Karen Jong, Shreeya Popat, Alana Christie, Philippe E. Zimmern

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction and hypothesis: This study was to review our experience of pain relief durability in women who experienced initial pain resolution after vaginal mesh and/or sling removal (VMSR). Methods: A retrospective chart review of consecutive, nonneurogenic women who underwent VMSR for pain and reported persistent pain relief at the 6-month postoperative follow-up visit were assessed. Pre- and postoperative data collected were self-reported chief complaints, physical examination, other medical conditions associated with chronic pain, use of pain medications, Urogenital Distress Inventory-6 (in which question 6 specifically addresses pain), and the Numerical Pain Rating Scale (NPRS). Success was defined by continued resolution of pain assessed by score of 0 on NPRS (0 none to 10 terrible), (0–1 on the Urogenital Distress Inventory-6 (UDI-6) question 6, subjective report of pain-free status, and/or no chronic use of pain medications other than those prescribed for non-mesh-related pain. Results: Between 2006 and 2015, 125 of 356 women met study criteria. Mean follow-up after VMSR was 3.5 (range 0.5–10) years. Among 25 women who did not meet success criteria by questionnaire answers or subjective report, 21 had causes unrelated to their original mesh/sling placement and were pain free after they were addressed. Four women experienced delayed mesh-related pain return at 28, 46, 47, and 54 months, respectively; two required mesh removal surgery. Involvement in lawsuits and chronic pain-related medical conditions did not affect the durability of pain relief. Conclusions: At a mean follow-up of 3.5 years, the original pain relief noted after VMSR was durably maintained.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalInternational Urogynecology Journal
DOIs
StateAccepted/In press - Jul 10 2017

Fingerprint

Pain
Chronic Pain
Equipment and Supplies
Physical Examination

Keywords

  • Mesh removal
  • Pelvic pain
  • Synthetic mesh
  • Vaginal surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

Cite this

Is pain relief after vaginal mesh and/or sling removal durable long term? / Jong, Karen; Popat, Shreeya; Christie, Alana; Zimmern, Philippe E.

In: International Urogynecology Journal, 10.07.2017, p. 1-6.

Research output: Contribution to journalArticle

@article{9bbe1f0c70b54f96ad5f8544eea4d168,
title = "Is pain relief after vaginal mesh and/or sling removal durable long term?",
abstract = "Introduction and hypothesis: This study was to review our experience of pain relief durability in women who experienced initial pain resolution after vaginal mesh and/or sling removal (VMSR). Methods: A retrospective chart review of consecutive, nonneurogenic women who underwent VMSR for pain and reported persistent pain relief at the 6-month postoperative follow-up visit were assessed. Pre- and postoperative data collected were self-reported chief complaints, physical examination, other medical conditions associated with chronic pain, use of pain medications, Urogenital Distress Inventory-6 (in which question 6 specifically addresses pain), and the Numerical Pain Rating Scale (NPRS). Success was defined by continued resolution of pain assessed by score of 0 on NPRS (0 none to 10 terrible), (0–1 on the Urogenital Distress Inventory-6 (UDI-6) question 6, subjective report of pain-free status, and/or no chronic use of pain medications other than those prescribed for non-mesh-related pain. Results: Between 2006 and 2015, 125 of 356 women met study criteria. Mean follow-up after VMSR was 3.5 (range 0.5–10) years. Among 25 women who did not meet success criteria by questionnaire answers or subjective report, 21 had causes unrelated to their original mesh/sling placement and were pain free after they were addressed. Four women experienced delayed mesh-related pain return at 28, 46, 47, and 54 months, respectively; two required mesh removal surgery. Involvement in lawsuits and chronic pain-related medical conditions did not affect the durability of pain relief. Conclusions: At a mean follow-up of 3.5 years, the original pain relief noted after VMSR was durably maintained.",
keywords = "Mesh removal, Pelvic pain, Synthetic mesh, Vaginal surgery",
author = "Karen Jong and Shreeya Popat and Alana Christie and Zimmern, {Philippe E.}",
year = "2017",
month = "7",
day = "10",
doi = "10.1007/s00192-017-3413-5",
language = "English (US)",
pages = "1--6",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",

}

TY - JOUR

T1 - Is pain relief after vaginal mesh and/or sling removal durable long term?

AU - Jong, Karen

AU - Popat, Shreeya

AU - Christie, Alana

AU - Zimmern, Philippe E.

PY - 2017/7/10

Y1 - 2017/7/10

N2 - Introduction and hypothesis: This study was to review our experience of pain relief durability in women who experienced initial pain resolution after vaginal mesh and/or sling removal (VMSR). Methods: A retrospective chart review of consecutive, nonneurogenic women who underwent VMSR for pain and reported persistent pain relief at the 6-month postoperative follow-up visit were assessed. Pre- and postoperative data collected were self-reported chief complaints, physical examination, other medical conditions associated with chronic pain, use of pain medications, Urogenital Distress Inventory-6 (in which question 6 specifically addresses pain), and the Numerical Pain Rating Scale (NPRS). Success was defined by continued resolution of pain assessed by score of 0 on NPRS (0 none to 10 terrible), (0–1 on the Urogenital Distress Inventory-6 (UDI-6) question 6, subjective report of pain-free status, and/or no chronic use of pain medications other than those prescribed for non-mesh-related pain. Results: Between 2006 and 2015, 125 of 356 women met study criteria. Mean follow-up after VMSR was 3.5 (range 0.5–10) years. Among 25 women who did not meet success criteria by questionnaire answers or subjective report, 21 had causes unrelated to their original mesh/sling placement and were pain free after they were addressed. Four women experienced delayed mesh-related pain return at 28, 46, 47, and 54 months, respectively; two required mesh removal surgery. Involvement in lawsuits and chronic pain-related medical conditions did not affect the durability of pain relief. Conclusions: At a mean follow-up of 3.5 years, the original pain relief noted after VMSR was durably maintained.

AB - Introduction and hypothesis: This study was to review our experience of pain relief durability in women who experienced initial pain resolution after vaginal mesh and/or sling removal (VMSR). Methods: A retrospective chart review of consecutive, nonneurogenic women who underwent VMSR for pain and reported persistent pain relief at the 6-month postoperative follow-up visit were assessed. Pre- and postoperative data collected were self-reported chief complaints, physical examination, other medical conditions associated with chronic pain, use of pain medications, Urogenital Distress Inventory-6 (in which question 6 specifically addresses pain), and the Numerical Pain Rating Scale (NPRS). Success was defined by continued resolution of pain assessed by score of 0 on NPRS (0 none to 10 terrible), (0–1 on the Urogenital Distress Inventory-6 (UDI-6) question 6, subjective report of pain-free status, and/or no chronic use of pain medications other than those prescribed for non-mesh-related pain. Results: Between 2006 and 2015, 125 of 356 women met study criteria. Mean follow-up after VMSR was 3.5 (range 0.5–10) years. Among 25 women who did not meet success criteria by questionnaire answers or subjective report, 21 had causes unrelated to their original mesh/sling placement and were pain free after they were addressed. Four women experienced delayed mesh-related pain return at 28, 46, 47, and 54 months, respectively; two required mesh removal surgery. Involvement in lawsuits and chronic pain-related medical conditions did not affect the durability of pain relief. Conclusions: At a mean follow-up of 3.5 years, the original pain relief noted after VMSR was durably maintained.

KW - Mesh removal

KW - Pelvic pain

KW - Synthetic mesh

KW - Vaginal surgery

UR - http://www.scopus.com/inward/record.url?scp=85022229922&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85022229922&partnerID=8YFLogxK

U2 - 10.1007/s00192-017-3413-5

DO - 10.1007/s00192-017-3413-5

M3 - Article

C2 - 28695345

AN - SCOPUS:85022229922

SP - 1

EP - 6

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

ER -