Clinical and ultrasonographic study of patients presenting with transvaginal mesh complications

Manonai, Jittima; Rostaminia, Ghazaleh; Denson, Lindsay; Shobeiri, S. Abbās

doi:10.1002/nau.22725

Cited by 39 publications

(27 citation statements)

References 14 publications

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“…Although examination has been shown to be superior for identifying mesh extrusion, ultrasound is best for diagnosing visceral involvement, 7 Few of our findings complement those previously found with 3/4D ultrasound.…”

Section: Discussionsupporting

confidence: 81%

“…Pain has been reported to be the most common mesh-related complaint, along with dyspareunia. 7,23 It is therefore unsurprising that 80% of our cohort reported pain. Due to its multifactorial aetiology and the frequent co-existence of comorbidities, it is difficult to ascertain the prevalence directly attributed to mesh.…”

Section: Resultsmentioning

confidence: 92%

“…Two -dimensional pPFUS and 3D EVUS, both validated imaging techniques, were performed according to standardised methods 5,7 using the Flex Focus 500 ultrasound system (BK Medical, Herlev, Denmark). All scans were performed and analysed by or directly supervised by the senior author (RT).…”

Section: Methodsmentioning

confidence: 99%

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Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Taithongchai

Pandeva

Sultan

et al. 2021

Ultrasound in Obstet & Gyne

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This is a prospective cross-sectional description of pelvic floor ultrasound (US) findings in 311 women with complications after mid-urethral synthetic slings (MUS). The association between perineal and endovaginal ultrasound scan findings and patient symptoms in a cohort of women with complications after MUS has not been shown before. What are the clinical implications of this work? This study adds to the limited body of evidence for best practice in the assessment of complications after MUS. As recurrent urinary tract infection and voiding dysfunction appear to be related to tape location, care needs to be taken during MUS insertion to ensure correct placement.

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Section: Discussionsupporting

confidence: 81%

Section: Resultsmentioning

confidence: 92%

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Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Taithongchai

Pandeva

Sultan

et al. 2021

Ultrasound in Obstet & Gyne

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“…Some advocate preoperative ultrasound or MRI to locate mesh in the vaginal wall . While the studies of ultrasound are limited, it appears to be the best imaging modality for locating mesh, and is more accurate than clinical exam . Nevertheless, there is no compelling evidence to support intra‐operative ultrasound at this time.…”

Section: Resultsmentioning

confidence: 99%

Foundation for an evidence‐informed algorithm for treating pelvic floor mesh complications: a review

Cundiff

Quinlan

Rensburg

et al. 2018

BJOG

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“…In addition to being a diagnostic modality to assess sling outcomes, ultrasound can also be used to aid in management of sling complications (i.e. preoperatively or intraoperatively in mesh excision)(24). …”

Section: Imagingmentioning

confidence: 99%

New Frontiers in Molecular and Imaging Research on Evaluation and Diagnosis of Bladder Outlet Obstruction in Women

Martínez

Khavari

2017

Curr Bladder Dysfunct Rep

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Purpose Diagnosis of bladder outlet obstruction (BOO) often presents a challenge in female patients. Traditional diagnostic elements such as symptom history and urodynamic data are rarely clear cut in women. Therefore, we sought to review the current literature on diagnosis of female BOO, focusing on new frontiers in the realm of molecular markers and imaging modalities. Recent Findings In addition to fluoroscopy in the setting of videourodynamics, ultrasound and MRI can augment the diagnosis and aid in therapeutic planning in certain etiologies of female BOO. Furthermore, multiple potential biomarkers (i.e. nerve growth factor, prostaglandins, ATP) that have been studied in correlation to BOO in animal models as well as human subjects hold promise for diagnostic applications. Summary These novel techniques may augment standard clinical and urodynamic evaluation of BOO in females. Future directions include further studies of each of these biomarkers in female patients with BOO compared to normal controls to test their feasibility as potential screening tools.

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Clinical and ultrasonographic study of patients presenting with transvaginal mesh complications

Abstract: The most common complaints of vaginal mesh complications were pain and dyspareunia. EVUS appeared to be helpful for assessing mesh presence, location, and extent including planning for surgical intervention.

Cited by 39 publications

References 14 publications

Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Foundation for an evidence‐informed algorithm for treating pelvic floor mesh complications: a review

New Frontiers in Molecular and Imaging Research on Evaluation and Diagnosis of Bladder Outlet Obstruction in Women

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