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Outcomes following treatment for pelvic floor mesh complications.

Publication ,  Journal Article
Unger, CA; Abbott, S; Evans, JM; Jallad, K; Mishra, K; Karram, MM; Iglesia, CB; Rardin, CR; Barber, MD
Published in: Int Urogynecol J
June 2014

INTRODUCTION AND HYPOTHESIS: Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications. METHODS: This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral centers for management of vaginal-mesh-related complications. Study participants completed a one-time follow-up survey regarding any additional treatment, current symptoms, and degree of improvement from initial presentation. RESULTS: Two hundred and sixty women received surveys; we had a response rate of 41.1 % (107/260). Complete data were available for 101 respondents. Survey respondents were more likely to be postmenopausal (p = 0.006), but otherwise did not differ from nonrespondents. Fifty-one percent (52/101) of women underwent surgery as the primary intervention for their mesh complication; 8 % (4/52) underwent a second surgery; 34 % (17/52) required a second nonsurgical intervention. Three patients required three or more surgeries. Of the 30 % (30/101) of respondents who reported pelvic pain prior to intervention, 63 % (19/30) reported improvement, 30 % (9/30) were worse, and 7 % (2/30) reported no change. Of the 33 % (33/101) who reported voiding dysfunction prior to intervention, 61 % (20/33) reported being at least somewhat bothered by these symptoms. CONCLUSIONS: About 50 % of women with mesh complications in this study underwent surgical management as treatment, and <10 % required a second surgery. Most patients with pain preintervention reported significant improvement after treatment; however, almost a third reported worsening pain or no change after surgical management. Less than half of patients with voiding dysfunction improved after intervention.

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Published In

Int Urogynecol J

DOI

EISSN

1433-3023

Publication Date

June 2014

Volume

25

Issue

6

Start / End Page

745 / 749

Location

England

Related Subject Headings

  • Vagina
  • Treatment Outcome
  • Surgical Mesh
  • Retrospective Studies
  • Postoperative Complications
  • Pelvic Floor
  • Obstetrics & Reproductive Medicine
  • Multicenter Studies as Topic
  • Humans
  • Follow-Up Studies
 

Citation

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Unger, C. A., Abbott, S., Evans, J. M., Jallad, K., Mishra, K., Karram, M. M., … Barber, M. D. (2014). Outcomes following treatment for pelvic floor mesh complications. Int Urogynecol J, 25(6), 745–749. https://doi.org/10.1007/s00192-013-2282-9
Unger, C. A., S. Abbott, J. M. Evans, K. Jallad, K. Mishra, M. M. Karram, C. B. Iglesia, C. R. Rardin, and M. D. Barber. “Outcomes following treatment for pelvic floor mesh complications.Int Urogynecol J 25, no. 6 (June 2014): 745–49. https://doi.org/10.1007/s00192-013-2282-9.
Unger CA, Abbott S, Evans JM, Jallad K, Mishra K, Karram MM, et al. Outcomes following treatment for pelvic floor mesh complications. Int Urogynecol J. 2014 Jun;25(6):745–9.
Unger, C. A., et al. “Outcomes following treatment for pelvic floor mesh complications.Int Urogynecol J, vol. 25, no. 6, June 2014, pp. 745–49. Pubmed, doi:10.1007/s00192-013-2282-9.
Unger CA, Abbott S, Evans JM, Jallad K, Mishra K, Karram MM, Iglesia CB, Rardin CR, Barber MD. Outcomes following treatment for pelvic floor mesh complications. Int Urogynecol J. 2014 Jun;25(6):745–749.
Journal cover image

Published In

Int Urogynecol J

DOI

EISSN

1433-3023

Publication Date

June 2014

Volume

25

Issue

6

Start / End Page

745 / 749

Location

England

Related Subject Headings

  • Vagina
  • Treatment Outcome
  • Surgical Mesh
  • Retrospective Studies
  • Postoperative Complications
  • Pelvic Floor
  • Obstetrics & Reproductive Medicine
  • Multicenter Studies as Topic
  • Humans
  • Follow-Up Studies