Management of complications of mesh surgery

Dominic Lee, Philippe E. Zimmern

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Purpose of review: Transvaginal placements of synthetic mid-urethral slings and vaginal meshes have largely superseded traditional tissue repairs in the current era because of presumed efficacy and ease of implant with device 'kits'. The use of synthetic material has generated novel complications including mesh extrusion, pelvic and vaginal pain and mesh contraction. In this review, our aim is to discuss the management, surgical techniques and outcomes associated with mesh removal. Recent findings: Recent publications have seen an increase in presentation of these mesh-related complications, and reports from multiple tertiary centers have suggested that not all patients benefit from surgical intervention. Summary: Although the true incidence of mesh complications is unknown, recent publications can serve to guide physicians and inform patients of the surgical outcomes from mesh-related complications. In addition, the literature highlights the growing need for a registry to account for a more accurate reporting of these events and to counsel patients on the risk and benefits before proceeding with mesh surgeries.

Original languageEnglish (US)
Pages (from-to)284-291
Number of pages8
JournalCurrent Opinion in Urology
Volume25
Issue number4
DOIs
StatePublished - Jul 1 2015

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Keywords

  • Food and Drug Administration
  • Mesh excision
  • Mid-urethral sling
  • Surgical outcomes
  • Vaginal mesh complications

ASJC Scopus subject areas

  • Urology

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