2018
DOI: 10.1007/s00192-018-3756-6
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Outcomes after laparoscopic removal of retropubic midurethral slings for chronic pain

Abstract: Laparoscopic removal of MUS is feasible and effective but carries a risk of worsening SUI.

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Cited by 18 publications
(18 citation statements)
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References 25 publications
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“…At the postoperative follow-up, 72% (13/18) of patients reported significant improvement or complete resolution of their chronic mesh-related pain at follow-up after total mesh removal. Similar patterns of pain improvement have previously been reported in the literature [ 16 18 ]. It is however worth noting that 28% (5/18) of patients in this study still suffered from ongoing or worsening pain despite total mesh excision.…”
Section: Discussionsupporting
confidence: 88%
“…At the postoperative follow-up, 72% (13/18) of patients reported significant improvement or complete resolution of their chronic mesh-related pain at follow-up after total mesh removal. Similar patterns of pain improvement have previously been reported in the literature [ 16 18 ]. It is however worth noting that 28% (5/18) of patients in this study still suffered from ongoing or worsening pain despite total mesh excision.…”
Section: Discussionsupporting
confidence: 88%
“…Goodall et al 9 report associated symptom improvement in both groups, with 55% of patients (31/56) reporting preoperative urgency or subjective voiding difficulties, compared with 21% of patients (12/56) postoperatively.…”
Section: Resultsmentioning
confidence: 96%
“…This was a total of 23 adverse events out of 688 surgeries, or 3.34%. It should be noted that one study 9 reports 26% of the complications related to abdominal retropubic mesh removal, and this could be skewing the total mesh removal safety profile.…”
Section: Resultsmentioning
confidence: 99%
“…46 Clinical data show that mesh removal in those patients with pain might fail to resolve symptoms for some patients, and for others can even exacerbate their pain. 35,38,47,48 This finding raises questions as to the role of the mesh prosthesis itself in the aetiology of the pain as opposed to it being attributable to surgical trauma more generally, and the efficacy and validity of mesh explantation surgery solely for the resolution of pain symptoms.…”
Section: [H1] Defining Mesh Complicationsmentioning
confidence: 99%