Outcome of Transvaginal Mesh and Tape Removed for Pain Only

Abstract

When pain is the only indication for suburethral tape or vaginal mesh removal, a significant decrease in the pain score can be durably expected after removal in most patients at midterm followup.

Retrospective comparison between the Prolift and Elevate anterior vaginal mesh procedures: 18-month clinical outcome

“…In the present study, postoperative pelvic floor pain and dyspareunia were observed in approximately 11 % of patients regardless of the use of the Prolift and Elevate mesh. Similar rates of postoperative pelvic floor pain were reported by other authors [26].…”

“…Our results are in agreement with the findings of McLennan et al [7] who reported no difference in pain scores in an immediate postoperative period between the Prolift and Elevate groups. It is worth remembering that pelvic floor pain following TVM includes a variety of pelvic symptoms (e.g., dyspareunia, obturator neuralgia, buttock pain, inner thigh pain) secondary to different mechanisms (e.g., nerve and/or muscle damage, postoperative infections, mesh overtension, mesh retraction) [24][25][26]. In the present study, postoperative pelvic floor pain and dyspareunia were observed in approximately 11 % of patients regardless of the use of the Prolift and Elevate mesh.…”

Evaluation and Management of Mid-Urethral Sling Complications

“…Hou et al found similar results in patients who presented with pelvic pain after a MUS. In their study of 54 patients who underwent vaginal mesh excision, 67 % reported being Bpain-free^as indexed by a visual analog scale (VAS) score of zero [42].…”

Safety considerations for synthetic sling surgery

“…6 Furthermore, this study 6 excluded patients whose slings were removed owing to pain and other indications, thus the actual incidence of sling removal owing to complications is probably even higher than that. Extrapolating from this estimate and the estimated number of slings implanted in the 6,9,10,41,44,[100][101][102][103][104][105][106][107][108][109][110][111][112][113][114] Use of imperfect research methodologies, a lack of long-term follow up and reporting bias have been suggested as causes of these differences. 10,45,115,116 Safety and risk:benefit considerations Safety of SMUS surgery refers to the probability of any adverse event, while risk describes the range and probability of specific adverse events.…”