Symptom Improvement After Prolapse and Incontinence Graft Removal in a Case Series of 306 Patients

Abstract

Pain is among the most common symptoms reported in women referred to our institution for implant-related complications. In a series of 306 complex patients with a range of implants and symptoms, removal improved implant-related pain in the majority of patients.

Predictors of sling revision after mid‐urethral sling procedures: a case–control study

“…MUS revision was required at a median of 153 days after the index procedure, with 15% of re‐operations occurring at >3 years. Similarly, long latency periods have been observed by others, highlighting the importance of long‐term follow‐up and/or facilitating re‐referral in this patient population …”

Management of mesh complications following surgery for stress urinary incontinence or pelvic organ prolapse: a systematic review

“…Five studies reported an overall change in symptoms following mesh revision surgery, with the number of women experiencing symptom resolution varying from 80 to 24% . One reported that 80% of women who had mesh revision surgery experienced some symptom improvement, as measured by the Global Sense questionnaire …”

Native Tissue Surgery for Prolapse versus Graft/Mesh Use: Current Trends in Reconstructive Surgery

“…They found that placement of mesh for incontinence was significantly associated with the placement of vaginal mesh for prolapse (OR 9.95, 95 % CI 9.70-10.21) [14]. Among women who had mesh anti-incontinence procedures, 16.8 % of prolapse repairs was performed with mesh in 2000 with a peak of 55.8 % of procedures in 2005 and finally 43.6 % of procedures in 2010.…”

“…After referral, approximately 60 % of women will go on to have two or more interventions [50•]. For most women with pain associated with mesh, pain improves after surgical intervention; however, approximately 19-51 % of women has persistent pain, and 8-14 % has worse pain [14,51,52]. Mesh revision/removal surgeries also have risks of damage to the bladder, rectum, and urethra due to mesh location or adherence.…”

“…At the time of referral, 29-71 % has already had a prior revision or attempted mesh removal [14,49]. After referral, approximately 60 % of women will go on to have two or more interventions [50•].…”