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Reviewing Patients Following Mesh Repair; The Benefits
Claudia R Kowalik1, M M E Lakeman, Josephine E Oryszczyn
1Academic Medical Centre, Amsterdam, The Netherlands.
Gynecologic and Obstetric Investigation
|December 29, 2016
Summary
Long-term follow-up of vaginal mesh surgery for pelvic organ prolapse (POP) shows low rates of persistent complications. Most women were satisfied with the treatment, indicating mesh surgery is a feasible option.
Area of Science:
- Urogynecology
- Surgical Innovation
- Patient Outcomes
Background:
- Synthetic mesh use in vaginal prolapse surgery remains controversial due to safety concerns.
- Pelvic organ prolapse (POP) affects a significant number of women, with surgical intervention often necessary.
Purpose of the Study:
- To investigate the long-term complications associated with vaginal mesh surgery for pelvic organ prolapse (POP).
- To assess the prevalence of mesh exposure, pain, and patient satisfaction after POP mesh surgery.
Main Methods:
- A cross-sectional study involving 188 women who underwent vaginal mesh surgery for POP between 2007 and 2012.
- Data collection focused on mesh exposure, pain symptoms, and patient satisfaction at a median follow-up of 40 months.
Main Results:
- Symptomatic mesh exposure occurred in 6% of women, with 8 undergoing further surgery.
- De novo pain was reported by 5% of patients, with 2% experiencing persistent pain.
- A high patient satisfaction rate of 86% was observed among responders.
Conclusions:
- Performing a mesh recall for POP is feasible.
- The prevalence of persistent symptomatic mesh exposure and pain after vaginal mesh surgery is low.
- Most complications were treatable, contributing to a high overall patient satisfaction rate.
