Surgical techniques for removing problematic mesh.

The use of mesh and graft in pelvic reconstructive surgery has increased over the last decade. As the use of these products increased, the frequency and complexity of mesh-related complications has also increased. Management of complications resulting from mesh placement requires a thoughtful, systematic approach. Although many mesh complications can be managed nonsurgically, a significant proportion will require surgical excision of some or all of the mesh. Mesh excision is often successful in treating even serious complications, however a notable portion of patients will require more than 1 operation and complete symptom resolution is not always achieved.