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

Excerpt

This was a cross sectional study of 128 women who had vaginal mesh surgery in a Dutch university hospital between 2007 and 2012. The authors 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. HR-QoL was defined as being related to micturition, defecation, and sexual function. This was assessed using the Dutch versions of the following validated questionnaires: Urogenital Distress Inventory short form (UDI-6), Incontinence Impact Questionnaire (IIQ), Defecation Distress Inventory (DDI), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire short form (PISQ-12). Indications to perform vaginal mesh surgery were recurrence of pelvic organ prolapse (POP), women with a posterior vaginal wall prolapse after previous vaginal hysterectomy, or women participating in studies to evaluate the outcomes of vaginal mesh surgery. …