Complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapse
Complications can result from the use of mesh to treat female stress urinary incontinence or pelvic organ prolapse. While some of these complications are also common to non-mesh-based procedures, the risk of vaginal exposure of mesh, or mesh extrusion into other pelvic organs are unique complication...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Continence |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973724006465 |
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| author | Blayne Welk Roger Dmochowski Kathryn McCarthy James Keck Sherif Mourad Hashim Hashim |
| author_facet | Blayne Welk Roger Dmochowski Kathryn McCarthy James Keck Sherif Mourad Hashim Hashim |
| author_sort | Blayne Welk |
| collection | DOAJ |
| description | Complications can result from the use of mesh to treat female stress urinary incontinence or pelvic organ prolapse. While some of these complications are also common to non-mesh-based procedures, the risk of vaginal exposure of mesh, or mesh extrusion into other pelvic organs are unique complications that must be considered when using mesh. Chronic pain after mesh-based procedures can be a difficult complication to manage and may occur. Patients with stress incontinence or prolapse that are considering surgical treatment should be counseled on the potential complications and the likelihood of them occurring. Although there has been focus on the development, introduction and regulation of mesh, the diagnostic clinical decision-making process has not been put under scrutiny, and likely significantly impacts patient outcomes. There is a need to develop patient reported outcome measures for mesh procedures, and further work is needed to create a standardized way to measure and communicate different types of mesh-related complications. Future research to focus on the diagnostic clinical decision making process is recommended, including education on the ‘whole journey’ of the patient during the perioperative pathway. |
| format | Article |
| id | doaj-art-aab8ed7f805547ee875584d4e4d11aab |
| institution | OA Journals |
| issn | 2772-9737 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj-art-aab8ed7f805547ee875584d4e4d11aab2025-08-20T02:34:19ZengElsevierContinence2772-97372024-12-011210171310.1016/j.cont.2024.101713Complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapseBlayne Welk0Roger Dmochowski1Kathryn McCarthy2James Keck3Sherif Mourad4Hashim Hashim5Department of Surgery, Epidemiology & Biostatistics, Western University, London, Canada; Correspondence to: Department of Surgery and Epidemiology & Biostatistics, Western University, Room B4-667, St Joseph’s Health Care 268 Grosvenor Street London ON N6A 4V2, CanadaDepartment of Urology, Surgery, and Obstetrics and Gynecology, Vanderbilt Medical Center, Nashville, TN, USADepartment of Colorectal surgery, North Bristol NHS Trust, Bristol, UKDepartment of Colorectal Surgery St. Vincent’s Health Melbourne, AustraliaAin Shams University, Cairo, EgyptBristol Urological Institute, North Bristol NHS Trust, Bristol, UKComplications can result from the use of mesh to treat female stress urinary incontinence or pelvic organ prolapse. While some of these complications are also common to non-mesh-based procedures, the risk of vaginal exposure of mesh, or mesh extrusion into other pelvic organs are unique complications that must be considered when using mesh. Chronic pain after mesh-based procedures can be a difficult complication to manage and may occur. Patients with stress incontinence or prolapse that are considering surgical treatment should be counseled on the potential complications and the likelihood of them occurring. Although there has been focus on the development, introduction and regulation of mesh, the diagnostic clinical decision-making process has not been put under scrutiny, and likely significantly impacts patient outcomes. There is a need to develop patient reported outcome measures for mesh procedures, and further work is needed to create a standardized way to measure and communicate different types of mesh-related complications. Future research to focus on the diagnostic clinical decision making process is recommended, including education on the ‘whole journey’ of the patient during the perioperative pathway.http://www.sciencedirect.com/science/article/pii/S2772973724006465IncontinenceProlapseMesh complications |
| spellingShingle | Blayne Welk Roger Dmochowski Kathryn McCarthy James Keck Sherif Mourad Hashim Hashim Complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapse Continence Incontinence Prolapse Mesh complications |
| title | Complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapse |
| title_full | Complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapse |
| title_fullStr | Complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapse |
| title_full_unstemmed | Complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapse |
| title_short | Complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapse |
| title_sort | complications associated with the use of mesh to treat female urinary incontinence and pelvic organ prolapse |
| topic | Incontinence Prolapse Mesh complications |
| url | http://www.sciencedirect.com/science/article/pii/S2772973724006465 |
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