Abstract
Objective
This is a description of complications following prolapse surgery with the use of
alloplastic materials, the management and outcome.
Study design
54 women have been referred to Mainz, urogynecology referral center due to complications
following mesh-augmented prolapse surgery.
Results
The complaints who lead to the admission are expressed by the new terminology and
standardized classification for complications arising directly from the insertion
of prostheses and grafts in female pelvic floor surgery [
[1]
]. Pain (66.7%), mesh erosion (55.6%) and vaginal discharge (48.1%) were the most frequent
complaints. Revision was performed after a median time of 27.2 months post mesh implantation.
Nine patients underwent limited excision of the mesh, 49 had a vaginal revision with
wide mesh removal and 10 had a laparotomy with wide mesh removal. After 3 months 48
patients had a follow-up, 25 could have been relieved from their complaints.- Haylen B.T.
- Freeman R.M.
- Swift S.E.
- et al.
An International Urogynecological Association (IUGA)/International continence Society
(ICS) joint terminology and classification of the complications related directly to
the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor
surgery.
Int Urogynecol J Pelvic Floor Dysfunct. 2011; 22: 3-15
Conclusion
Although the incidence is low, complications after prolapse repair with mesh use are
difficult to prevent, affect quality of life and often require a new surgical intervention,
which should be performed by an experienced and competent surgeon.
Abbreviations:
CTScode (C category, T time, S site), IUGA (International Urogynecological Association), ICS (International Continence Society)Keywords
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Article info
Publication history
Published online: July 29, 2011
Accepted:
July 11,
2011
Received in revised form:
June 30,
2011
Received:
April 6,
2011
Identification
Copyright
© 2011 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
