Observational studyBMC women's health2025
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.
Observational study in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
5 citing papers in PubMed.
- Vaginal Mesh Revision Surgery: A Focus on Functional Outcomes.Journal of clinical medicine · 2026Article
- Outcomes of Total Excision of Retropubic and Transobturator Full Length Mid-Urethral Slings Using Standardised Surgical Techniques in Patients with Mesh Complications: A Retrospective Study Across Two Tertiary Mesh Referral Services.International urogynecology journal · 2026Article
- A Retrospective Cohort Study Investigating the Clinical Care Pathway for Patients at a Pelvic Mesh Complications Clinic in a Western Australian Tertiary Hospital.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Concerns and Goals of Women with Isolated Mesh-Associated Pain Syndrome Accessing a Quaternary Mesh Referral Service: A Thematic Analysis.International urogynecology journal · 2026Article
- Phenotyping of isolated mesh associated pain secondary to continence mesh device insertion.Frontiers in pain research (Lausanne, Switzerland) · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the patient cohort accessing a quaternary-level pelvic mesh referral service, identify their requirements and ensure services can meet their needs. To determine areas of future research.
designRetrospective and prospective observational study.
settingQuaternary-level pelvic mesh complications service in the U.K. POPULATION: Women accessing a pelvic mesh complications service over 5 years.
methodsAll women attending the mesh complication service between 2018 and 2023 were included. Data was collected on referral rates, demographics, mesh complications experienced, management options selected, and post operative complications suffered. Mesh complications were compared against mesh devices and management options chosen.
results785 women were managed in the mesh service over 5 years. Of 765 women with confirmed mesh devices, 92% (n = 707/765) were referred with a painful mesh complication and 54% (n = 416/765) reported pain alone. 58% requested surgical management (n = 403/692). Of 288 who received surgery, 52% (n = 150/288) requested complete mesh excision. The recurrent Stress Urinary Incontinence (SUI) and Pelvic Organ Prolapse (POP) rate was 66% (n = 141/215) and 23% (3/13) respectively. 18% (n = 51/288) experienced a surgical complication however only 0.7% (2/288) were considered serious.
conclusionsThis study has identified patients reporting 'pain alone' as the commonest patient cohort attending a UK pelvic mesh centre between 2018 and-2023, suggesting that mesh associated pain exerts considerable burden on affected individuals and maybe more prevalent than once thought. This group has the greatest variation in treatment. Further research is required to understand the pathophysiology of mesh related pain to inform effective treatment options.
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