Mesh sling arm removal for persistent pain after an initial vaginal suburethral mesh Sling removal procedure

Jorge L. Fuentes, Carlos Finsterbusch, Alana L. Christie, Philippe E. Zimmern

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: Pain is a recognized complication of mid-urethral slings (MUS), which may lead to suburethral sling removal (SSR) alone, or to a more extensive removal approach. We report on the outcomes of women who required an SSR or an additional secondary MUS arm removal for pain only. Methods: After Institutional Review Board (IRB) approval, the charts of nonneurogenic women who underwent SSR for pain only were reviewed. Demographic information, MUS type, self-reported pain resolution, and preoperative and postoperative questionnaires, including Urogenital Distress Inventory-Short form question 6 (UDI-6 Q6) scores, were collected for the SSR (group 1) and secondary removal (group 2) groups. Results: Of 52 women who underwent SSR for pain only between 2005 and 2018, 16 (31%) required a secondary procedure to remove the extension arms due to persistent pain after SSR. All women in group 2 experienced pain immediately after SSR (UDI-6 Q6 score of 2 to 3). Patients whose pain improved after SSR presented at a median 61 months after MUS whereas those in group 2 underwent SSR at median 34 months after MUS. Median duration of follow-up in group 2, after the secondary procedure, was 34 months. Over one half of those in group 2 (54%) noticed pain cure/improvement. Seven were left with persistent pain. Conclusions: In women who underwent SSR for pain only, 67% reported pain resolution. An additional procedure to remove the extension arms of the mesh was performed in one third of women for persistent pain after SSR.

Original languageEnglish (US)
Pages (from-to)E522-E527
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume27
Issue number5
DOIs
StatePublished - 2021

Keywords

  • Pain
  • Secondary arm removal
  • Sling complications
  • Synthetic suburethral sling

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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