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. 2011 Nov;22(11):1395-404.
doi: 10.1007/s00192-011-1476-2. Epub 2011 Jun 17.

Surgical management of mesh-related complications after prior pelvic floor reconstructive surgery with mesh

Myrthe M Tijdink  1 , Mark E Vierhout, John P Heesakkers, Mariëlla I J Withagen
Affiliations

Surgical management of mesh-related complications after prior pelvic floor reconstructive surgery with mesh

Myrthe M Tijdink et al. Int Urogynecol J. 2011 Nov.

Abstract

Introduction and hypothesis: The objective of this study is to evaluate the complications and anatomical and functional outcomes of the surgical treatment of mesh-related complications.

Methods: A retrospective cohort study of patients who underwent complete or partial mesh excision to treat complications after prior mesh-augmented pelvic floor reconstructive surgery was conducted.

Results: Seventy-three patients underwent 30 complete and 51 partial mesh excisions. Intraoperative complications occurred in 4 cases, postoperative complications in 13. Symptom relief was achieved in 92% of patients. Recurrence of pelvic organ prolapse (POP) occurred in 29% of complete and 5% of partial excisions of mesh used in POP surgery. De novo stress urinary incontinence (SUI) occurred in 36% of patients who underwent excision of a suburethral sling.

Conclusions: Mesh excision relieves mesh-related complications effectively, although with a substantial risk of serious complications and recurrence of POP or SUI. More complex excisions should be performed in skilled centers.

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Figures

Fig. 1
Fig. 1
Flowchart of inclusion of patients who underwent excision of mesh
See this image and copyright information in PMC

Comment in

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