title: Management of mesh complications and vaginal constriction: a urogynecology perspective.
abstract: Once thought of as a long-term solution to pelvic organ prolapse, currently synthetic mesh augmentation is regarded as a dark area that is being critically assessed by surgeons, hospitals, industry, and most importantly the Food and Drug Administration. The development of midurethral sling kits has revolutionized the surgical treatment of stress incontinence. These systems, however, were not rigorously tested but instead marketed after being cleared by the Food and Drug Administration through a simple regulatory process using a previously approved predescent material. This article reviews the management of mesh complications of synthetic slings and mesh used to augment prolapse repair.
authors.affiliation: Department of Obstetrics and Gynecology, The Christ Hospital/University of Cincinnati, Cincinnati, OH 45267, USA.
authors.forename: Dani
authors.initials: D
authors.lastname: Zoorob
authors.forename: Mickey
authors.initials: M
authors.lastname: Karram
mesh_terms: D003251:Constriction, Pathologic / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D013526:Surgical Mesh / Q000009:adverse effects*; D013520:Urologic Surgical Procedures / Q000379:methods; D014621:Vagina; D014623:Vaginal Diseases / Q000209:etiology / Q000628:therapy