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Management of Mesh Complications after SUI and POP Repair: Review and Analysis of the Current Literature

D Barski1, D Y Deng2

  • 1Department of Urology, Lukas Hospital, Preussenstrasse 84, 41464 Neuss, Germany.

Biomed Research International
|May 15, 2015
PubMed
Abstract

Insights

Surgical mesh complications in urogynecology occur in 15-25% of cases, with mesh erosion up to 10%. Early surgical intervention and experienced surgeons are key for managing these mesh-related issues.

Area of Science:

  • Urogynecology
  • Surgical Innovation
  • Medical Device Complications

Background:

  • Mesh materials are widely used for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) procedures.
  • Complications associated with mesh implantation necessitate effective management strategies.

Purpose of the Study:

  • To evaluate surgical treatment concepts for mesh-related complications in urogynecological procedures.
  • To identify optimal approaches for managing adverse events following mesh implantation.

Main Methods:

  • A comprehensive literature review was conducted using the PubMed database.
  • Analysis focused on retrospective studies detailing mesh complication management.

Main Results:

  • Mesh-related complications were observed in approximately 15-25% of patients.
  • Mesh erosion occurred in up to 10% of cases for POP and SUI repair.
  • Mesh explantation was required in 1-2% of patients due to severe complications.
  • Early surgical treatment, including partial or complete mesh resection, is the primary approach.
  • Vaginal and endoscopic access are preferred methods for mesh resection.
  • Thorough pre-operative assessment and strategic planning are crucial for recurrent surgeries.

Conclusions:

  • Current data on managing mesh complications is limited.
  • Surgical revisions for mesh complications should be performed by experienced surgeons.
  • Prospective documentation and diligent follow-up are essential for successful patient outcomes.

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