Mesh removal following transvaginal mesh placement: A case series of 104 operations

Naama Marcus-Braun, Peter Von Theobald

Research output: Contribution to journalReview articlepeer-review

75 Scopus citations


Introduction and hypothesis The objective of the study was to reveal the way we treat vaginal mesh complications in a trained referral center. Methods This is a retrospective review of all patients who underwent surgical removal of transvaginal mesh for meshrelated complications during a 5-year period. Results Eighty-three patients underwent 104 operations including 61 complete mesh removal, 14 partial excision, 15 section of sub-urethral sling, and five laparoscopies. Main indications were erosion, infection, granuloma, incomplete voiding, and pain. Fifty-eight removals occurred more than 2 years after the primary mesh placement. Mean operation time was 21 min, and there were two intraoperative and ten minor postoperative complications. Stress urinary incontinence (SUI) recurred in 38% and cystocele in 19% of patients. Conclusions In a trained center, mesh removal was found to be a quick and safe procedure. Mesh-related complications may frequently occur more than 2 years after the primary operation. Recurrence was mostly associated with SUI and less with genital prolapse.

Original languageEnglish
Pages (from-to)423-430
Number of pages8
JournalInternational Urogynecology Journal
Issue number4
StatePublished - Apr 2010
Externally publishedYes


  • Mesh complications
  • Mesh removal
  • Pelvic organ prolapse
  • Stress urinary incontinence
  • Vaginal mesh


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