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Related Experiment Video

Updated: May 14, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Complications in pelvic floor surgery.

J Alvarez¹, K Cvach, P Dwyer

¹Department of Urogynecology, Mercy Hospital for Women, Melbourne, Australia. julioalvarezmd@gmail.com

Minerva Ginecologica

|February 16, 2013

Summary

Pelvic floor surgery for prolapse and incontinence can lead to serious complications, impacting quality of life. Patients must be fully informed about surgical risks and benefits for informed consent.

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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Area of Science:

Urogynecology
Female Pelvic Medicine and Reconstructive Surgery

Background:

Pelvic floor disorders significantly impact women's quality of life globally.
Surgery is a primary treatment for pelvic organ prolapse and urinary incontinence.
Surgical complications, though uncommon, can cause morbidity, mortality, and long-term health burdens.

Purpose of the Study:

To review complications associated with female pelvic floor reconstructive surgery.
To highlight the importance of standardized terminology for surgical complications.
To inform patients and clinicians about the risks and benefits of various pelvic floor procedures.

Main Methods:

Review of perioperative and long-term complications of pelvic floor reconstructive surgery.
Discussion of complications related to native tissue repair and synthetic mesh implants.
Analysis of complication rates for prolapse and anti-incontinence procedures.

Main Results:

Complications range from organ injury and infection to long-term issues like pain (up to 25%).
Mesh-associated prolapse surgery shows good anatomical outcomes but carries high complication rates, including mesh exposure (3-15%).
Minimally invasive anti-incontinence procedures have lower morbidity but include mesh exposure (0.3%), voiding dysfunction (7%), and de novo urgency (25%).

Conclusions:

The risk and severity of complications vary by procedure and patient factors.
Informed consent is crucial, especially given the ongoing debate on transvaginal mesh and laparoscopic procedures.
Standardized complication terminology aids in auditing and comparing pelvic floor procedures.