ArticleObstetrics and gynecology2014
Symptom resolution after operative management of complications from transvaginal mesh.
Article in Obstetrics and gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.
- Transvaginal mesh or grafts or native tissue repair for vaginal prolapse.The Cochrane database of systematic reviews · 2024Pooled it
- Proteomic insights into vaginal mesh complications and treatment targets.Acta biomaterialia · 2025Article
- Management of patients with mesh perforation into viscus following pelvic mesh surgery.World journal of urology · 2025Observational
- Dysregulated inflammatory response to urogynecologic meshes in women with diabetes and its implications.American journal of obstetrics and gynecology · 2024Article
- How is pain associated with pelvic mesh implants measured? Refinement of the construct and a scoping review of current assessment tools.BMC women's health · 2022Article
- Characterization of vaginal immune response to a polypropylene mesh: Diabetic vs. normoglycemic conditions.Acta biomaterialia · 2022Article
- Host-biomaterial interactions in mesh complications after pelvic floor reconstructive surgery.Nature reviews. Urology · 2021Review
- Improvement in dyspareunia after vaginal mesh removal measured by a validated questionnaire.International urogynecology journal · 2021Article
- Symptomatic improvement after mesh removal: a prospective longitudinal study of women with urogynaecological mesh complications.BJOG : an international journal of obstetrics and gynaecology · 2021Article
- Efficacy of surgical revision of mesh complications in prolapse and urinary incontinence surgery.International urogynecology journal · 2021Article
- Current situation of complications related to reconstructive surgery for pelvic organ prolapse: a multicenter study.International urogynecology journal · 2021Article
- Clinical analysis of pain after transvaginal mesh surgery in patients with pelvic organ prolapse.BMC women's health · 2021Article
- Management of Vaginal Mesh Exposures Following Female Pelvic Reconstructive Surgery.Current urology reports · 2020Review
- Joint position statement on the management of mesh-related complications for the FPMRS specialist.International urogynecology journal · 2020Article
- Tobacco use, immunosuppressive, chronic pain, and psychiatric conditions are prevalent in women with symptomatic mesh complications undergoing mesh removal surgery.Investigative and clinical urology · 2020Article
- Twelve years' experience with fascia lata autograft to replace complicated anterior vaginal mesh.International urogynecology journal · 2019Article
- Functional outcomes of synthetic tape and mesh revision surgeries: a monocentric experience.International urogynecology journal · 2019Article
- Management of vaginal mesh exposure: A systematic review.Arab journal of urology · 2019Review
- Is pain relief after vaginal mesh and/or sling removal durable long term?International urogynecology journal · 2018Review
- Reoperations for mesh-related complications after pelvic organ prolapse repair: 8-year experience at a tertiary referral center.International urogynecology journal · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveComplications from transvaginal mesh placed for prolapse often require operative management. The aim of this study is to describe the outcomes of vaginal mesh removal.
methodsA retrospective review of all patients having surgery by the urogynecology group in the department of obstetrics and gynecology at our institution for a complication of transvaginal mesh placed for prolapse was performed. Demographics, presenting symptoms, surgical procedures, and postoperative symptoms were abstracted. Comparative statistics were performed using the χ or Fisher's exact test with significance at P<.05.
resultsBetween January 2008 and April 2012, 90 patients had surgery for complications related to vaginal mesh and 84 had follow-up data. The most common presenting signs and symptoms were: mesh exposure, 62% (n=56); pain, 64% (n=58); and dyspareunia, 48% (n=43). During operative management, mesh erosion was encountered unexpectedly in a second area of the vagina in 5% (n=4), in the bladder in 1% (n=1), and in the bowel in 2% (n=2). After vaginal mesh removal, 51% (n=43) had resolution of all presenting symptoms. Mesh exposure was treated successfully in 95% of patients, whereas pain was only successfully treated in 51% of patients.
conclusionRemoval of vaginal mesh is helpful in relieving symptoms of presentation. Patients can be reassured that exposed mesh can almost always be successfully managed surgically, but pain and dyspareunia are only resolved completely in half of patients. LEVEL OF EVIDENCE: III.
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