Management of complications of mesh surgery

Dominic Lee, Philippe E. Zimmern

Research output: Contribution to journalArticle

16 Citations (Scopus)

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Purpose of review: Transvaginal placements of synthetic mid-urethral slings and vaginal meshes have largely superseded traditional tissue repairs in the current era because of presumed efficacy and ease of implant with device 'kits'.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

Fingerprint

Surgical Mesh
Suburethral Slings
Pelvic Pain
Registries
Physicians
Equipment and Supplies
Incidence

Keywords

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

ASJC Scopus subject areas

  • Urology

Cite this

Management of complications of mesh surgery. / Lee, Dominic; Zimmern, Philippe E.

In: Current Opinion in Urology, Vol. 25, No. 4, 01.07.2015, p. 284-291.

Research output: Contribution to journalArticle

@article{4506c8b376a04954bb98c2a5b8fa2d06,
title = "Management of complications of mesh surgery",
abstract = "Purpose of review: Transvaginal placements of synthetic mid-urethral slings and vaginal meshes have largely superseded traditional tissue repairs in the current era because of presumed efficacy and ease of implant with device 'kits'.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.",
keywords = "Food and Drug Administration, Mesh excision, Mid-urethral sling, Surgical outcomes, Vaginal mesh complications",
author = "Dominic Lee and Zimmern, {Philippe E.}",
year = "2015",
month = "7",
day = "1",
doi = "10.1097/MOU.0000000000000187",
language = "English (US)",
volume = "25",
pages = "284--291",
journal = "Current Opinion in Urology",
issn = "0963-0643",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Management of complications of mesh surgery

AU - Lee, Dominic

AU - Zimmern, Philippe E.

PY - 2015/7/1

Y1 - 2015/7/1

N2 - 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.

AB - 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.

KW - Food and Drug Administration

KW - Mesh excision

KW - Mid-urethral sling

KW - Surgical outcomes

KW - Vaginal mesh complications

UR - http://www.scopus.com/inward/record.url?scp=84942512737&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84942512737&partnerID=8YFLogxK

U2 - 10.1097/MOU.0000000000000187

DO - 10.1097/MOU.0000000000000187

M3 - Article

C2 - 26049869

AN - SCOPUS:84942512737

VL - 25

SP - 284

EP - 291

JO - Current Opinion in Urology

JF - Current Opinion in Urology

SN - 0963-0643

IS - 4

ER -