title: Referral pattern for vaginal mesh and graft complications to the University of Oklahoma Pelvic and Bladder Health Clinic.
abstract: OBJECTIVE
  To evaluate the referral pattern to a tertiary care center for vaginal mesh complications following surgeries for pelvic organ support defect.
  
  
  METHODS
  This was a retrospective review of women presenting to our clinic for complications of vaginal mesh.
  
  
  RESULTS
  One hundred thirty three patients were included in the study. The median age was 58.4 years, median parity was two, and 95.4% were Caucasian. The pattern of referral was as follows: 10% continued care at the tertiary center where mesh or graft was initially inserted, 18% were referred by the surgeon who initially implanted the mesh or graft, 71% were referred from an outside secondary health care provider, and 1% was self referred.
  
  
  CONCLUSIONS
  The majority of patients presenting to our clinic with mesh vaginal mesh complications were referred by someone other than the implanting surgeon.
authors.affiliation: University of Oklahoma Health Sciences Center, Department of Obstetrics and Gynecology, Oklahoma City, OK 73190, USA.
authors.forename: Ghazaleh
authors.initials: G
authors.lastname: Rostaminia
authors.forename: Abbas
authors.initials: A
authors.lastname: Shobeiri
authors.forename: Lieschen H
authors.initials: LH
authors.lastname: Quiroz
authors.forename: Mikio A
authors.initials: MA
authors.lastname: Nihira
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures; D006176:Gynecology; D006785:Hospitals, University; D006801:Humans; D008875:Middle Aged; D009825:Oklahoma / Q000453:epidemiology; D056887:Pelvic Organ Prolapse / Q000453:epidemiology / Q000601:surgery*; D011126:Polypropylenes / Q000009:adverse effects; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012086:Reoperation; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013526:Surgical Mesh / Q000009:adverse effects*; D019737:Transplants / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000601:surgery*; D013520:Urologic Surgical Procedures; D014572:Urology; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000601:surgery
chemical_list: D011126:Polypropylenes