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Updated: Jul 20, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Mesh augmentation during pelvic-floor reconstructive surgery: risks and benefits.

Kaven Baessler1, Christopher F Maher

  • 1Charité University Hospital Berlin, Campus Benjamin Franklin, Department of Gynaecology, Hindenburgdamm, Berlin, Germany. kaven.baessler@charite.de

Current Opinion in Obstetrics & Gynecology
|August 26, 2006
PubMed
Summary

Synthetic meshes are used for pelvic floor repairs but can cause complications. Surgeons should carefully consider risks like mesh erosion and dyspareunia before routine use in vaginal reconstructive surgery.

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Surgery for women with anterior compartment prolapse.

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Surgery for women with pelvic organ prolapse with or without stress urinary incontinence.

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Area of Science:

  • Urogynecology
  • Biomaterials in Surgery
  • Surgical Complications

Background:

  • Synthetic meshes are widely adopted for stress urinary incontinence and pelvic organ prolapse surgery.
  • Their use aims to enhance repair success rates and durability.

Purpose of the Study:

  • To review and analyze complications associated with synthetic mesh use in pelvic floor procedures.
  • To inform surgeons about potential adverse outcomes.

Main Methods:

  • Review of literature on synthetic mesh complications in pelvic floor reconstructive surgery.
  • Analysis of mesh properties and their impact on host response and healing.

Main Results:

  • Polypropylene monofilament mesh is commonly used, but adverse host reactions like inflammation can impair healing.

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  • While complications are rare for midurethral slings and sacrocolpopexy, vaginal mesh for prolapse repair shows high rates of erosion (up to 26%) and dyspareunia (up to 38%).
  • Concurrent hysterectomy may elevate mesh erosion risk.

    • Conclusions:

    • Surgeons must be aware of the potential complications of synthetic meshes.
    • Routine use of synthetic mesh in vaginal reconstructive surgery is not recommended outside clinical trials pending further safety and efficacy data.