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International Urogynecology Journal

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Open Access 01-07-2019 | Original Article

Effects of mesh-related complications in vaginal surgery on quality of life

Authors: Claudia R. Kowalik, Mariëlle M. E. Lakeman, Alyde T. de Kraker, Jan Paul W. R. Roovers

Published in: International Urogynecology Journal | Issue 7/2019

Abstract

Introduction and hypothesis

Vaginal mesh surgery is subject of debate due to the impact of mesh-related complications on patient’s lives. Not all of these complications are symptomatic. Restoration of the anatomy and improvement of pelvic floor function as a result may counter the experienced discomfort related to adverse events. We hypothesized that health-related quality of life (HR-QoL) is comparable in women after vaginal mesh surgery regardless of the presence or absence of a mesh-specific complication.

Methods

This was a cross-sectional study of 128 women who had vaginal mesh surgery in a Dutch university hospital between 2007 and 2012. HR-QoL was measured in women with and without mesh complications using standardized QoL questionnaires Urogenital Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire (IIQ), Defecation Distress Inventory (DDI), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12). Complications were scored according to the International Urogynecological Association (IUGA) complication classification. Comparisons between groups were performed with Student’s t test and analysis of variance (ANOVA) test.

Results

In 29 (23%) women, a mesh-related complication occurred. The domain scores of the UDI-6, DDI, IIQ, and PISQ showed no statistically significant differences between women with and without a mesh-related complication. A post hoc analysis showed similar HR-QoL for those in whom the complication had been resolved and those with persistent symptoms of the complication.

Conclusion

Mesh surgery imposes specific complications. When counseling patients about the potential adverse events related to vaginal mesh surgery, it is important to inform them that mesh-related complications do not negatively affect QoL related to micturition, defecation, and sexual functioning.

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Title: Effects of mesh-related complications in vaginal surgery on quality of life
Authors: Claudia R. Kowalik
Mariëlle M. E. Lakeman
Alyde T. de Kraker
Jan Paul W. R. Roovers
Publication date: 01-07-2019
Publisher: Springer International Publishing
Published in: International Urogynecology Journal / Issue 7/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3680-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Effects of mesh-related complications in vaginal surgery on quality of life

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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