Referral pattern for vaginal mesh and graft complications to the University of Oklahoma Pelvic and Bladder Health Clinic

J Okla State Med Assoc. 2012 Sep;105(9):356-8.

Abstract

Objective: To evaluate the referral pattern to a tertiary care center for vaginal mesh complications following surgeries for pelvic organ support defect.

Methods: This was a retrospective review of women presenting to our clinic for complications of vaginal mesh.

Results: One hundred thirty three patients were included in the study. The median age was 58.4 years, median parity was two, and 95.4% were Caucasian. The pattern of referral was as follows: 10% continued care at the tertiary center where mesh or graft was initially inserted, 18% were referred by the surgeon who initially implanted the mesh or graft, 71% were referred from an outside secondary health care provider, and 1% was self referred.

Conclusion: The majority of patients presenting to our clinic with mesh vaginal mesh complications were referred by someone other than the implanting surgeon.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Gynecologic Surgical Procedures
  • Gynecology*
  • Hospitals, University
  • Humans
  • Middle Aged
  • Oklahoma / epidemiology
  • Pelvic Organ Prolapse / epidemiology
  • Pelvic Organ Prolapse / surgery*
  • Polypropylenes / adverse effects
  • Referral and Consultation / statistics & numerical data*
  • Reoperation
  • Retrospective Studies
  • Risk Assessment
  • Risk Factors
  • Surgical Mesh / adverse effects*
  • Transplants / adverse effects*
  • Urinary Incontinence, Stress / epidemiology
  • Urinary Incontinence, Stress / surgery*
  • Urologic Surgical Procedures
  • Urology*
  • Uterine Prolapse / surgery
  • Vagina / surgery

Substances

  • Polypropylenes