title: Management of complications arising from transvaginal mesh kit procedures: a tertiary referral center's experience.
abstract: This case series' purpose is to review a referral center's experience with complications from mesh kits. A chart review of 12 patients who presented with complications associated with transvaginal mesh kit procedures was performed. All patients underwent complete surgical removal of the mesh to treat mesh exposure, pain, or vaginal bleeding/discharge followed by an anterior or posterior repair. The mean follow-up time after surgery was 3.4 months. Eight of 12 patients had mesh that had formed a fibrotic band. Six of 12 patients had complete resolution of pain. Of the nine patients with mesh exposure, all required significant resection of the vaginal wall. No further mesh exposure occurred. The use of transvaginal mesh kits may cause previously undescribed complications such as pelvic/vaginal pain or large extrusions requiring complete removal. Removal of all mesh except the arms may cure or significantly improve these problems.
authors.affiliation: Scott Department of Urology, Baylor College of Medicine, 6560 Fannin St, Suite 2100, Houston, TX 77030, USA. hurtado@bcm.edu
authors.forename: Eric A
authors.initials: EA
authors.lastname: Hurtado
authors.forename: Rodney A
authors.initials: RA
authors.lastname: Appell
mesh_terms: D000368:Aged; D020878:Device Removal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007249:Inflammation / Q000209:etiology; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D010346:Patient Care Management / Q000379:methods*; D011095:Polyethylenes / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery*; D019522:Vaginal Discharge / Q000209:etiology
chemical_list: D011095:Polyethylenes