Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits

Ridgeway, Beri; Walters, Mark D.; Paraíso, Marie Fidela R.; Barber, Matthew D.; McAchran, Sarah E.; Goldman, Howard B.; Jelovsek, J. Eric

doi:10.1016/j.ajog.2008.07.055

Cited by 75 publications

(36 citation statements)

References 9 publications

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“…Patients who underwent revision surgery for any indication were more likely to have undergone vaginal apical suspension (52. 8 14 Burch colposuspension, 1 other) was not associated with the need for revision. When revision procedures were evaluated by indication, history of SUI surgery remained a risk factor for voiding symptoms and/or urinary retention (adjusted odds ratio 3.5, 95 % CI 1.4 -8.3; p=0.007) and recurrent UTI (adjusted odds ratio 3.7, 1.2,11.3; p=0.02); and, concomitant apical suspension remained a risk factor for voiding symptoms and/or urinary retention (odds ratio 3.1, 95 % CI 1.5 -7.0; p=0.003).…”

Section: Resultsmentioning

confidence: 94%

“…Careful blunt and sharp dissection is performed to expose the underlying sling, and once the sling is identified, it is dissected away from the urethra and lysed in the midline, thus releasing it. Partial excision of the sling involves removal of a section of the sling only, whereas complete excision is done by transecting the most lateral aspects of the mesh arms under the bony pelvis bilaterally and removing the sling [14].…”

Section: Methodsmentioning

confidence: 99%

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Indications and risk factors for midurethral sling revision

2015

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Section: Resultsmentioning

confidence: 94%

Section: Methodsmentioning

confidence: 99%

Indications and risk factors for midurethral sling revision

2015

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“…[34] Infection may be considered as an additional complication in vaginal repair either using mesh or another traditional method. [35] In our study 5 patients developed UTI and treated by antibiotics. Two patients had urinary retention after catheter removal and were treated by indwelling catheter for 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

Transobturator four arms mesh in the surgical management of stress urinary incontinence with cystocele

Sherif

Othman

Eldkhakhany

et al. 2017

Turkish Journal of Urology

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Objective: This study aims to evaluate safety and efficacy of four arms polypropylene mesh in the longterm follow-up in the management of stress urinary incontinence (SUI) associated with cystocele. Material and methods:This prospective study was conducted on 50 female patients with SUI associated with cystocele. Patients underwent placement of transobturator four-arms mesh implants. Stress incontinence was evaluated using cough stress test with and without prolapse reduction, Stamey's grading of SUI, the validated Arabic version of the International Consultation on Incontinence Questionnaire-Short Form and King Health Questionnaire forms. Perioperative parameters evaluated included age, body mass index, grade of SUI, time of procedure, hospital stay after surgery, difference between pre-, and postoperative serum hemoglobin values, and need for blood transfusion. Follow-up visits were planned at 3, 9 and 18 months after surgery. Results:The mean operative time was 37.4±10.2 (25-60) minutes. Blood transfusion was not required. The mean hospital stay was 30.5±10 (24-48) hrs. Five (10%) patients had fever and urinary tract infections were noticed in five (10%) patients. Two (4%) women had urine retention after catheter removal and vaginal mesh erosion was present in one (2%) patient. Forty (80%) patients were cured from SUI, 8 (16%) patients were improved and 2 (4%) patients failed to respond. Conclusion:Cystocele associated with SUI can be repaired with transobturator four-arms mesh with promising results, improved quality of life, and tolerable side effects.

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“…Ridgeway et al [19] described this as a technically challenging procedure, but that it can be performed safely with few complications and a great deal of symptom relief (with some continuation of symptoms). Fistulae and erosions are more concerning conditions, and they ultimately require more extensive repairs.…”

Section: Mesh Complicationsmentioning

confidence: 97%

Management of Complications Related to Mesh Use Within the Female Pelvis

Vaish

Wolter

2010

Curr Bladder Dysfunct Rep

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Pelvic organ prolapse is a common indication for surgery throughout the world. Since the introduction of the tension-free vaginal tape in 1998, using mesh for vaginal prolapse repairs has become commonplace. Early studies did not show sufficiently high levels of evidence of advantages provided by mesh repairs but instead revealed fairly high erosion rates. Despite the initial research, use of pelvic organ prolapse surgery with mesh is increasing. It is imperative to have a good understanding of the mesh available on the market, appropriate use in patients, and the serious risks of complications.

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Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits

Cited by 75 publications

References 9 publications

Indications and risk factors for midurethral sling revision

Indications and risk factors for midurethral sling revision

Transobturator four arms mesh in the surgical management of stress urinary incontinence with cystocele

Management of Complications Related to Mesh Use Within the Female Pelvis

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