Cystocele Repair by Vaginal Route: Comparison of Three Different Surgical Techniques of Mesh Placement

Mesh-related complications from reconstructive surgery for pelvic organ prolapse in Chinese patients in Hong Kong

“…11 Smoking has been found to be associated with mesh exposure. 12 However, the prevalence of smoking was low in this cohort and this association was not detected. Different ages have been found to be associated with higher risk of mesh exposure in other studies, 20,26 but this was not confirmed in the present study population.…”

“…The median time between surgery and detection of mesh exposure in the present study was within the range reported in other studies. 12,13,17,18 Mesh exposure tended to be found earlier in transvaginal than abdominal mesh surgery, but There was one mesh infection with abscess formation and one mild bladder injury over the 11 years of study. Otherwise there were no serious mesh-related complications, such as mesh exposure to the bladder or bowel, or spondylodiscitis.…”

“…14,20,21 Coital activity was associated with higher risks of mesh exposure, in agreement with other study populations. 12,18,20 Obesity is known to have many implications for health, including as an independent risk factor for perioperative surgical site infection in vaginal surgery, 27 although this is not mentioned specifically in other studies on mesh-related complications. Patients ought to be counselled to attempt weight reduction before a prolapse operation because weight loss might lower the risk of mesh-related complications, in addition to the general benefits of maintaining a body mass index in the normal range.…”

“…9 The incidence of mesh exposure has been reported to be 2% to 12% in sacrocolpopexy, 1,2,10,11 and 2.7% to 24% in transvaginal mesh surgery. [12][13][14][15] Most reports, including those from the United States Food and Drug Administration 4 and the New Zealand Accident Compensation Corporation, 5 have involved patients from Western countries and have advised caution regarding the use of transvaginal mesh. There is limited information on transvaginal mesh surgery in Asian populations.…”