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International Urogynecology Journal
Published in: International Urogynecology Journal 9/2019

01-09-2019 | Stress Incontinence | Review Article

Management of complications arising from the use of mesh for stress urinary incontinence—International Urogynecology Association Research and Development Committee opinion

Authors: Jonathan Duckett, Barbara Bodner-Adler, Suneetha Rachaneni, Pallavi Latthe

Published in: International Urogynecology Journal | Issue 9/2019

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Abstract

Introduction and hypothesis

Management of pain or mesh exposure complications after stress incontinence surgery has become a new issue over the last 20 years with the introduction of mesh techniques to treat stress incontinence. There is much debate regarding the incidence of complications and how best to treat them.

Methods

A working subcommittee from the International Urogynecology Association (IUGA) Research and Development (R&D) Committee was formed. An initial document was drafted based on a literature review. The review focused on complications of vaginal mesh inserted for stress incontinence. After evaluation by the entire IUGA R&D Committee revisions were made. The final document represents the IUGA R&D Committee Opinion.

Results

The R&D Committee Opinion reviews the literature on the management of complications arising from the use of mesh for stress urinary incontinence. The review concentrated on the assessment and treatment of pain and exposure.

Conclusions

Complications after surgery for stress incontinence using mesh may not be common occurrences for individual surgeons. Complications may be difficult to manage and outcomes are variable. Specialist centres and a multidisciplinary approach may optimise treatment and reporting of outcomes.
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Metadata
Title
Management of complications arising from the use of mesh for stress urinary incontinence—International Urogynecology Association Research and Development Committee opinion
Authors
Jonathan Duckett
Barbara Bodner-Adler
Suneetha Rachaneni
Pallavi Latthe
Publication date
01-09-2019
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 9/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-03935-8

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