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Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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Updated: Jun 25, 2026

Transvaginal Mesh Insertion in the Ovine Model
10:32

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Published on: July 27, 2017

Complications from vaginally placed mesh in pelvic reconstructive surgery.

Roberta E Blandon1, John B Gebhart, Emanuel C Trabuco

  • 1Department of Obstetrics and Gynecology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.

International Urogynecology Journal and Pelvic Floor Dysfunction
|February 12, 2009
PubMed
Summary

Transvaginal mesh for pelvic organ prolapse can lead to complications like erosion and dyspareunia. Many patients require multiple surgeries, and symptoms may persist even after treatment.

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Area of Science:

  • Urogynecology
  • Pelvic reconstructive surgery
  • Medical device complications

Background:

  • Transvaginal mesh has been used for pelvic organ prolapse (POP) treatment.
  • Potential complications associated with mesh use require careful consideration.

Purpose of the Study:

  • To describe complications following transvaginal mesh placement for POP.
  • To analyze the types of complications and their management.

Main Methods:

  • Retrospective review of patients referred for mesh complications.
  • Data collected from January 2003 to September 2007.
  • Analysis of patient demographics, mesh types, complications, and treatments.

Main Results:

  • 21 patients with a mean age of 61 years were identified.
  • Common complications included mesh erosions (12), dyspareunia (10), and recurrent prolapse (9).
  • 16 patients (76%) required surgical management; 50% of sexually active patients reported persistent dyspareunia.

Conclusions:

  • Transvaginal mesh use for pelvic reconstruction is associated with significant complications.
  • Management often requires multiple interventions.
  • Bothersome symptoms like dyspareunia can persist post-treatment.