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Patient-Related Risk Factors for Mesh Erosion Following Midurethral Sling Procedures: A Systematic Review and

Tyas Priyatini1, Akbar Novan Dwi Saputra2,3, Alfa Putri Meutia1

  • 1Urogynecology and Reconstruction Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

International Urogynecology Journal
|January 28, 2026
PubMed
Abstract

Insights

Patient factors like prior pelvic surgery, diabetes, smoking, obesity, and postmenopausal status increase the risk of mesh erosion after midurethral sling (MUS) procedures for stress urinary incontinence (SUI). Understanding these risks aids in patient counseling and surgical planning.

Area of Science:

  • Urology
  • Gynecology
  • Surgical Complications

Background:

  • Midurethral slings (MUS) are a common surgical treatment for stress urinary incontinence (SUI).
  • Mesh erosion is a significant complication associated with MUS procedures.
  • Identifying patient-related risk factors is crucial for improving surgical outcomes.

Conclusions:

  • Prior pelvic surgery, postmenopausal status, diabetes mellitus, smoking, and obesity are significant risk factors for mesh erosion after MUS.
  • These findings are essential for preoperative risk assessment and informed patient counseling.
  • Further research may refine risk stratification and management strategies for SUI patients undergoing MUS.
Keywords:
Mesh erosionMidurethral slingRisk factorsStress urinary incontinence

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