Diagnosis and management of complications following pelvic organ prolapse surgery using a synthetic mesh: French national guidelines for clinical practice

Pathological Insights on Polypropylene Mesh Complications From Laparoscopic Sacrocolpopexy: A Case Series

“…The French clinical practice guidelines emphasize the importance of carefully evaluating the necessity of mesh reinsertion for POP reconstruction after mesh removal. This is because specific subgroups of patients are at a higher risk of complications following POP surgery with synthetic mesh [38]. According to these guidelines, surgical mesh removal should be considered if complications occur after POP surgery.…”

“…According to these guidelines, surgical mesh removal should be considered if complications occur after POP surgery. However, the decision to use mesh in subsequent POP surgeries after mesh removal should be made cautiously, considering the patient's specific circumstances and the risks associated with mesh use [38].…”

The Treatment Selection for a 36-Year-Old Woman With Stress Urinary Incontinence Using a Discrete Mathematical Approach: A Case Report

“…Additionally, changing antihypertensive medication led to further improvements in OAB. The gold standard for stress urinary incontinence (UI) that is unresponsive to pelvic floor muscle training is MUS, represented by TVT and TOT [5,[8][9][10][11][12][13][14][15][16][17][18][19][20]. MUS has a high success rate and abundant evidence for SUI; however, although the complication rate is low, pain may occur with TVT [7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”

“…The gold standard for stress urinary incontinence (UI) that is unresponsive to pelvic floor muscle training is MUS, represented by TVT and TOT [5,[8][9][10][11][12][13][14][15][16][17][18][19][20]. MUS has a high success rate and abundant evidence for SUI; however, although the complication rate is low, pain may occur with TVT [7][8][9][10][11][12][13][14][15][16][17][18][19][20]. If many patients experience anxiety, it is an important issue, even if the complication rate is low, because healthcare should be patient-centered [2,21].…”

“…The selection of treatment for SUI and OAB requires consideration of various factors, such as the patient's age, severity, comorbidities, and desire for pregnancy [2]. While each country has established guidelines for the treatment of SUI based on the best available evidence, these guidelines do not cover all aspects of medical decision-making [8,[13][14][15][16][17][18][19][20]. All guidelines serve as tools for clinicians to make informed decisions about patient care, presenting various types of information, such as the importance of post-treatment follow-up and patient education.…”