Conservative surgical management of Mersilene mesh suburethral sling erosion.
OBJECTIVE
The aim of this study was to describe conservative surgical management of polyethylene terephthalate (Mersilene, Ethicon, Inc, Somerville, NJ) mesh suburethral sling erosion as an alternative to sling removal.


METHODS
Seven women who had undergone suburethral sling procedures with Mersilene mesh were found to have varying degrees of mesh visible in the vagina at 4 to 12 weeks after the operation. Three women with erosions <5 mm were treated in the office and 4 women who had 6 to 30 mm erosions underwent inpatient surgical revision, which consisted of trimming of mesh when needed, excision of granulation tissue, and re-covering of the erosion in 2 layers.


RESULTS
All 7 patients have been followed up for 6 to 37 months. Only 1 woman who underwent inpatient surgical revision had a recurrence (4 mm); this was treated successfully in the office.


CONCLUSIONS
Vaginal erosions in suburethral sling procedures with Mersilene mesh can be managed initially with our conservative surgical technique.
Myers
D L
DL
Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants Hospital of Rhode Island, the Brown University School of Medicine, Providence, Rhode Island, USA.
LaSala
C A
CA
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates / Q000009:adverse effects*; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D013526:Surgical Mesh / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014623:Vaginal Diseases / Q000209:etiology / Q000601:surgery*
D011093:Polyethylene Terephthalates; C025539:Lavsan