TY - JOUR
T1 - Mesh removal following transvaginal mesh placement
T2 - A case series of 104 operations
AU - Marcus-Braun, Naama
AU - Theobald, Peter Von
PY - 2010/4
Y1 - 2010/4
N2 - 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.
AB - 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.
KW - Mesh complications
KW - Mesh removal
KW - Pelvic organ prolapse
KW - Stress urinary incontinence
KW - Vaginal mesh
UR - http://www.scopus.com/inward/record.url?scp=77953215032&partnerID=8YFLogxK
U2 - 10.1007/s00192-009-1050-3
DO - 10.1007/s00192-009-1050-3
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AN - SCOPUS:77953215032
SN - 0937-3462
VL - 21
SP - 423
EP - 430
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 4
ER -