INTRODUCTION AND HYPOTHESIS: Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications. METHODS: This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral centers for management of vaginal-mesh-related complications. Study participants completed a one-time follow-up survey regarding any additional treatment, current symptoms, and degree of improvement from initial presentation. RESULTS: Two hundred and sixty women received surveys; we had a response rate of 41.1 % (107/260). Complete data were available for 101 respondents. Survey respondents were more likely to be postmenopausal (p = 0.006), but otherwise did not differ from nonrespondents. Fifty-one percent (52/101) of women underwent surgery as the primary intervention for their mesh complication; 8 % (4/52) underwent a second surgery; 34 % (17/52) required a second nonsurgical intervention. Three patients required three or more surgeries. Of the 30 % (30/101) of respondents who reported pelvic pain prior to intervention, 63 % (19/30) reported improvement, 30 % (9/30) were worse, and 7 % (2/30) reported no change. Of the 33 % (33/101) who reported voiding dysfunction prior to intervention, 61 % (20/33) reported being at least somewhat bothered by these symptoms. CONCLUSIONS: About 50 % of women with mesh complications in this study underwent surgical management as treatment, and <10 % required a second surgery. Most patients with pain preintervention reported significant improvement after treatment; however, almost a third reported worsening pain or no change after surgical management. Less than half of patients with voiding dysfunction improved after intervention.
INTRODUCTION AND HYPOTHESIS: Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications. METHODS: This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral centers for management of vaginal-mesh-related complications. Study participants completed a one-time follow-up survey regarding any additional treatment, current symptoms, and degree of improvement from initial presentation. RESULTS: Two hundred and sixty women received surveys; we had a response rate of 41.1 % (107/260). Complete data were available for 101 respondents. Survey respondents were more likely to be postmenopausal (p = 0.006), but otherwise did not differ from nonrespondents. Fifty-one percent (52/101) of women underwent surgery as the primary intervention for their mesh complication; 8 % (4/52) underwent a second surgery; 34 % (17/52) required a second nonsurgical intervention. Three patients required three or more surgeries. Of the 30 % (30/101) of respondents who reported pelvic pain prior to intervention, 63 % (19/30) reported improvement, 30 % (9/30) were worse, and 7 % (2/30) reported no change. Of the 33 % (33/101) who reported voiding dysfunction prior to intervention, 61 % (20/33) reported being at least somewhat bothered by these symptoms. CONCLUSIONS: About 50 % of women with mesh complications in this study underwent surgical management as treatment, and <10 % required a second surgery. Most patients with pain preintervention reported significant improvement after treatment; however, almost a third reported worsening pain or no change after surgical management. Less than half of patients with voiding dysfunction improved after intervention.
Authors: Shawn A Menefee; Keisha Y Dyer; Emily S Lukacz; Amanda J Simsiman; Karl M Luber; John N Nguyen Journal: Obstet Gynecol Date: 2011-12 Impact factor: 7.661
Authors: Beri Ridgeway; Mark D Walters; Marie Fidela R Paraiso; Matthew D Barber; Sarah E McAchran; Howard B Goldman; J Eric Jelovsek Journal: Am J Obstet Gynecol Date: 2008-10-09 Impact factor: 8.661
Authors: Sara Abbott; Cecile A Unger; Janelle M Evans; Karl Jallad; Kevita Mishra; Mickey M Karram; Cheryl B Iglesia; Charles R Rardin; Matthew D Barber Journal: Am J Obstet Gynecol Date: 2013-10-11 Impact factor: 8.661
Authors: Jennifer M Wu; Amie Kawasaki; Andrew F Hundley; Alexis A Dieter; Evan R Myers; Vivian W Sung Journal: Am J Obstet Gynecol Date: 2011-04-02 Impact factor: 8.661
Authors: Reijo Hiltunen; Kari Nieminen; Teuvo Takala; Eila Heiskanen; Mauri Merikari; Kirsti Niemi; Pentti K Heinonen Journal: Obstet Gynecol Date: 2007-08 Impact factor: 7.661
Authors: Kari Nieminen; Reijo Hiltunen; Eila Heiskanen; Teuvo Takala; Kirsti Niemi; Mauri Merikari; Pentti K Heinonen Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2008-08-21
Authors: John R Miklos; Orawee Chinthakanan; Robert D Moore; Gretchen K Mitchell; Sheena Favors; Deborah R Karp; Gina M Northington; Gladys M Nogueiras; G Willy Davila Journal: Int Urogynecol J Date: 2015-12-21 Impact factor: 2.894