Related Experiment Video
Updated: Jun 2, 2026

Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Basic science and clinical aspects of mesh infection in pelvic floor reconstructive surgery
Renaud de Tayrac1, Vincent Letouzey
1Obstetrics and Gynaecology Department, Caremeau University Hospital, Nîmes, France. renaud.detayrac@chu-nimes.fr
Introduction And Hypothesis:
Bacterial colonization following mesh-augmented pelvic floor reconstructive surgery for pelvic organ prolapse is probably an underestimated consideration.
Methods:
Although clinical infections are rare, subclinical contamination of the polypropylene mesh has been systematically demonstrated by bacteriological analyses during mesh implantation and on explanted meshes.
Results:
A model of subclinical mesh infection does exist and bacterial colonization and mesh shrinkage have recently been correlated experimentally.
Conclusions:
New meshes with surface modifications or an antibiotic or antiseptic coating should be explored.
Insights
Subclinical bacterial colonization of polypropylene mesh used in pelvic organ prolapse surgery is common. This bacterial presence may lead to mesh shrinkage, suggesting a need for improved mesh technologies.
Area of Science:
- Urogynecology
- Biomaterials Science
- Infectious Disease
Background:
- Pelvic organ prolapse (POP) surgery frequently utilizes polypropylene mesh.
- While overt infections are infrequent, subclinical bacterial contamination of surgical mesh is a documented occurrence.
Purpose of the Study:
- To investigate the implications of subclinical bacterial colonization on mesh performance in pelvic floor reconstruction.
- To explore the relationship between bacterial presence and mesh structural changes.
Main Methods:
- Systematic bacteriological analysis of polypropylene meshes during implantation and explantation.
- Experimental modeling to assess the impact of bacterial colonization on mesh properties.
Main Results:
- Subclinical bacterial colonization of polypropylene mesh is consistently demonstrated.
- A correlation between bacterial colonization and mesh shrinkage has been experimentally established.
Conclusions:
- Subclinical mesh infection is a relevant factor in mesh-augmented POP repair.
- Development of novel meshes with antimicrobial coatings or surface modifications is warranted to mitigate bacterial colonization and associated complications.
Related Concept Videos
Urinary Tract Infection II: Pathophysiology
Microbiota of the Urogenital Tract

