Current role of mesh in vaginal prolapse surgery. [Review]
Current role of mesh in vaginal prolapse surgery. [Review]
- 2014
Available online from MWHC library: February 1998 - present
PURPOSE OF REVIEW: This report summarizes the latest literature on transvaginal mesh (TVM) for the treatment of pelvic organ prolapse, with a focus on indications for use and management of complications. We describe trends in TVM by reviewing the recent literature and summarizing national meeting presentations. RECENT FINDINGS: Vaginal mesh complications are most often managed surgically, and the majority of patients experiencing mesh-related pain have symptom improvement after intervention. New efforts will focus on identifying variables associated with success after intervention for mesh-related complications, to aid reconstructive pelvic surgeons in outcome prediction and patient counselling. SUMMARY: Although the use of TVM has plateaued in recent years, we are seeing an exponential rise in synthetic mesh implant removal. Reconstructive pelvic surgeons advising patients with TVM complications should report that surgical intervention is often necessary, improvement rates of pain-related symptoms after surgery are high, and up to a third may require multiple interventions.
English
1040-872X
*Pain, Postoperative/su [Surgery]
*Pelvic Organ Prolapse/su [Surgery]
*Reconstructive Surgical Procedures
*Surgical Mesh/ae [Adverse Effects]
Device Removal
Female
Humans
Pain, Postoperative/et [Etiology]
Practice Guidelines as Topic
Recurrence
Reoperation
Treatment Outcome
MedStar Washington Hospital Center
Obstetrics and Gynecology
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
Available online from MWHC library: February 1998 - present
PURPOSE OF REVIEW: This report summarizes the latest literature on transvaginal mesh (TVM) for the treatment of pelvic organ prolapse, with a focus on indications for use and management of complications. We describe trends in TVM by reviewing the recent literature and summarizing national meeting presentations. RECENT FINDINGS: Vaginal mesh complications are most often managed surgically, and the majority of patients experiencing mesh-related pain have symptom improvement after intervention. New efforts will focus on identifying variables associated with success after intervention for mesh-related complications, to aid reconstructive pelvic surgeons in outcome prediction and patient counselling. SUMMARY: Although the use of TVM has plateaued in recent years, we are seeing an exponential rise in synthetic mesh implant removal. Reconstructive pelvic surgeons advising patients with TVM complications should report that surgical intervention is often necessary, improvement rates of pain-related symptoms after surgery are high, and up to a third may require multiple interventions.
English
1040-872X
*Pain, Postoperative/su [Surgery]
*Pelvic Organ Prolapse/su [Surgery]
*Reconstructive Surgical Procedures
*Surgical Mesh/ae [Adverse Effects]
Device Removal
Female
Humans
Pain, Postoperative/et [Etiology]
Practice Guidelines as Topic
Recurrence
Reoperation
Treatment Outcome
MedStar Washington Hospital Center
Obstetrics and Gynecology
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery