title: Mesh complications following prolapse surgery: management and outcome.
abstract: OBJECTIVE
  This is a description of complications following prolapse surgery with the use of alloplastic materials, the management and outcome.
  
  
  METHODS
  54 women have been referred to Mainz, urogynecology referral center due to complications following mesh-augmented prolapse surgery.
  
  
  RESULTS
  The complaints who lead to the admission are expressed by the new terminology and standardized classification for complications arising directly from the insertion of prostheses and grafts in female pelvic floor surgery [1]. Pain (66.7%), mesh erosion (55.6%) and vaginal discharge (48.1%) were the most frequent complaints. Revision was performed after a median time of 27.2 months post mesh implantation. Nine patients underwent limited excision of the mesh, 49 had a vaginal revision with wide mesh removal and 10 had a laparotomy with wide mesh removal. After 3 months 48 patients had a follow-up, 25 could have been relieved from their complaints.
  
  
  CONCLUSIONS
  Although the incidence is low, complications after prolapse repair with mesh use are difficult to prevent, affect quality of life and often require a new surgical intervention, which should be performed by an experienced and competent surgeon.
authors.affiliation: Mainz University Hospital, Department of Obstetrics and Gynecology, 55131 Mainz, Germany. skala@uni-mainz.de
authors.forename: Christine E
authors.initials: CE
authors.lastname: Skala
authors.forename: Karin
authors.initials: K
authors.lastname: Renezeder
authors.forename: Stefan
authors.initials: S
authors.lastname: Albrich
authors.forename: Alexander
authors.initials: A
authors.lastname: Puhl
authors.forename: Rosa M
authors.initials: RM
authors.lastname: Laterza
authors.forename: Gert
authors.initials: G
authors.lastname: Naumann
authors.forename: Heinz
authors.initials: H
authors.lastname: Koelbl
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006785:Hospitals, University; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy*; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012008:Recurrence; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects*; D019522:Vaginal Discharge / Q000209:etiology / Q000628:therapy