Erschienen in:
01.04.2010 | Original Article
Mesh removal following transvaginal mesh placement: a case series of 104 operations
verfasst von:
Naama Marcus-Braun, Peter von Theobald
Erschienen in:
International Urogynecology Journal
|
Ausgabe 4/2010
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Abstract
Introduction and hypothesis
The objective of the study was to reveal the way we treat vaginal mesh complications in a trained referral center.
Methods
This is a retrospective review of all patients who underwent surgical removal of transvaginal mesh for mesh-related complications during a 5-year period.
Results
Eighty-three patients underwent 104 operations including 61 complete mesh removal, 14 partial excision, 15 section of sub-urethral sling, and five laparoscopies. Main indications were erosion, infection, granuloma, incomplete voiding, and pain. Fifty-eight removals occurred more than 2 years after the primary mesh placement. Mean operation time was 21 min, and there were two intraoperative and ten minor postoperative complications. Stress urinary incontinence (SUI) recurred in 38% and cystocele in 19% of patients.
Conclusions
In a trained center, mesh removal was found to be a quick and safe procedure. Mesh-related complications may frequently occur more than 2 years after the primary operation. Recurrence was mostly associated with SUI and less with genital prolapse.