ArticleInternational urogynecology journal2016
The IUGA/ICS classification of synthetic mesh complications in female pelvic floor reconstructive surgery: a multicenter study.
Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 50 citations in OpenAlex.
- A randomized comparison of a single-incision needleless (Contasure-needleless®) mini-sling versus an inside-out transobturator (Contasure-KIM®) mid-urethral sling in women with stress urinary incontinence: 24-month follow-up results.International urogynecology journal · 2018Trial
- The management of vaginal prolapse and stress incontinence mesh complications in a quaternary mesh complications service in the United Kingdom (U.K): a 5-year observational study.BMC women's health · 2025Observational
- [Vaginal pelvic floor reconstruction techniques].Urologie (Heidelberg, Germany) · 2025Review
- Clinical Effect of Uterosacral and Cardinal Ligament Fixation versus Sacrospinous Ligament Fixation of Vaginal Vault Prolapse: A Retrospective Analysis.International journal of clinical practice · 2023Article
- Mesh complications after total vs supracervical laparoscopic hysterectomy at time of minimally invasive sacrocolpopexy.International urogynecology journal · 2022Article
- Short term complications in mesh augmented vaginal repair of pelvic organ prolapse are not higher when compared with native tissue repair.International urogynecology journal · 2022Article
- Small intestinal submucosa xenograft to manage lower urinary tract prostheses perforation: a new path?International urogynecology journal · 2022Article
- Long term outcomes of laparoscopic sacro/colpo-hysteropexy with and without rectopexy for the treatment of prolapse.International urogynecology journal · 2022Article
- How common are complications following polypropylene mesh, biological xenograft and native tissue surgery for pelvic organ prolapse? A secondary analysis from the PROSPECT trial.BJOG : an international journal of obstetrics and gynaecology · 2021Article
- Necessary duration of follow-up to assess complications of mesh in hernia surgery: a time-lapse study based on 460 explants.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Joint position statement on the management of mesh-related complications for the FPMRS specialist.International urogynecology journal · 2020Article
- The International Urogynecological Association/International Continence Society classification of complications of prosthesis and graft insertion: Pros and cons and a review of the literatureJournal of the Turkish German Gynecological Association · 2020Article
- 1-year outcome after treatment of uterovaginal prolapse with a 6-point fixation mesh.Neurourology and urodynamics · 2019Observational
- A large bladder hematoma resulting from infectious hemorrhagic cystitis after pelvic reconstruction with transvaginal mesh: An unusual complication.SAGE open medical case reports · 2019Article
- Reoperations for mesh-related complications after pelvic organ prolapse repair: 8-year experience at a tertiary referral center.International urogynecology journal · 2017Article
- Cervical amputation versus vaginal hysterectomy: a population-based register study.International urogynecology journal · 2017Article
- Difference of opinion - Are syntetic slings safe? Opinion: No.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe objective was to report patterns of sling and transvaginal mesh-related complications using the IUGA/ICS classification of prosthesis-related complications.
methodsThis was a retrospective chart review of all patients who underwent surgical removal of sling, transvaginal mesh, and sacrocolpopexy for mesh-related complications from 2011 to 2013 at three tertiary referral centers. The International Urogynecological Association (IUGA)/International Continence Society (ICS) classification system was utilized.
resultsWe identified 445 patients with mesh complications, 506 pieces of synthetic mesh were removed, and 587 prostheses-related complications were classified. 3.7 % of patients had viscus organ penetration or vaginal exposure as their presenting chief complaint and 59.7 % were classified as not having any vaginal epithelial separation or category 1. The most common category was spontaneous pain (1Be: 32.5 %) followed by dyspareunia (1Bc: 14.7 %). The sling group was 20 % more likely to have pain compared with the pelvic organ prolapse (POP) mesh group (OR 1.2, 95 % CI 0.8-1.6). The most commonly affected site (S2) was away from the suture line (49 %). Compared with the sling group, the POP group had a higher rate of mesh exposure, which mostly occurred at the suture line area. The majority of patients presented with mesh-related complications more than 1 year post-insertion (T4; average 3.68 ± 2.47 years).
conclusionSurgeons should be aware that patients with vaginal mesh complications routinely exhibit complications more than 1 year after the implantation with pain as the most common presenting symptom.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.