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Biomed Res Int. 2015;2015:831285. doi: 10.1155/2015/831285. Epub 2015 Apr 20.

Management of Mesh Complications after SUI and POP Repair: Review and Analysis of the Current Literature.

Author information

1
Department of Urology, Lukas Hospital, Preussenstrasse 84, 41464 Neuss, Germany.
2
Department of Urology, University of California, 400 Parnassus Avenue A633, P.O. Box 0738, San Francisco, CA 94143-0738, USA.

Abstract

PURPOSE:

To evaluate the surgical treatment concepts for the complications related to the implantation of mesh material for urogynecological indications.

MATERIALS AND METHODS:

A review of the current literature on PubMed was performed.

RESULTS:

Only retrospective studies were detected. The rate of mesh-related complications is about 15-25% and mesh erosion is up to 10% for POP and SUI repair. Mesh explantation is necessary in about 1-2% of patients due to complications. The initial approach appears to be an early surgical treatment with partial or complete mesh resection. Vaginal and endoscopic access for mesh resection is favored. Prior to recurrent surgeries, a careful examination and planning for the operation strategy are crucial.

CONCLUSIONS:

The data on the management of mesh complication is scarce. Revisions should be performed by an experienced surgeon and a proper follow-up with prospective documentation is essential for a good outcome.

PMID:
25973425
PMCID:
PMC4418012
DOI:
10.1155/2015/831285
[Indexed for MEDLINE]
Free PMC Article

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