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International Urogynecology Journal

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Open Access 01-11-2011 | Original Article

Surgical management of mesh-related complications after prior pelvic floor reconstructive surgery with mesh

Authors: Myrthe M. Tijdink, Mark E. Vierhout, John P. Heesakkers, Mariëlla I. J. Withagen

Published in: International Urogynecology Journal | Issue 11/2011

Abstract

Introduction and hypothesis

The objective of this study is to evaluate the complications and anatomical and functional outcomes of the surgical treatment of mesh-related complications.

Methods

A retrospective cohort study of patients who underwent complete or partial mesh excision to treat complications after prior mesh-augmented pelvic floor reconstructive surgery was conducted.

Results

Seventy-three patients underwent 30 complete and 51 partial mesh excisions. Intraoperative complications occurred in 4 cases, postoperative complications in 13. Symptom relief was achieved in 92% of patients. Recurrence of pelvic organ prolapse (POP) occurred in 29% of complete and 5% of partial excisions of mesh used in POP surgery. De novo stress urinary incontinence (SUI) occurred in 36% of patients who underwent excision of a suburethral sling.

Conclusions

Mesh excision relieves mesh-related complications effectively, although with a substantial risk of serious complications and recurrence of POP or SUI. More complex excisions should be performed in skilled centers.

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Title: Surgical management of mesh-related complications after prior pelvic floor reconstructive surgery with mesh
Authors: Myrthe M. Tijdink
Mark E. Vierhout
John P. Heesakkers
Mariëlla I. J. Withagen
Publication date: 01-11-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 11/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1476-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Surgical management of mesh-related complications after prior pelvic floor reconstructive surgery with mesh

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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