title: Continence outcomes following partial excision of vaginal mesh exposure after mid-urethral tape insertion.
abstract: OBJECTIVE
  To assess the incidence of recurrent stress urinary incontinence (SUI) following vaginal excision of exposed mid-urethral tape (MUT).
  
  
  METHODS
  This was a retrospective observational study in a tertiary urogynaecology unit of an inner city teaching hospital. The population consisted of 41 consecutive women seen with a vaginal mesh exposure following MUT insertion between 2000 and 2009, which failed to resolve with conservative measures. The primary outcome measure was the presence of symptoms of stress urinary incontinence following surgical excision of exposed mesh.
  
  
  RESULTS
  The incidence of recurrent SUI following tape excision was 34.1%. Type of mid-urethral tape, menopausal status, and the time interval between tape insertion and excision were not found to be significantly associated with the risk of recurrent SUI.
  
  
  CONCLUSIONS
  Over a third of women experience recurrent SUI after surgical management of vaginal mesh exposure following MUT insertion. Risk factors may be more comprehensively studied using prospectively collected cohorts.
authors.affiliation: Department of Urogynaecology, St. George's Hospital, Blackshaw Road, London, United Kingdom. mayabasu@aol.com
authors.forename: Maya
authors.initials: M
authors.lastname: Basu
authors.forename: Maha
authors.initials: M
authors.lastname: Gorti
authors.forename: Richards
authors.initials: R
authors.lastname: Onifade
authors.forename: Anna
authors.initials: A
authors.lastname: Franco
authors.forename: Michelle
authors.initials: M
authors.lastname: Fynes
authors.forename: Stergios K
authors.initials: SK
authors.lastname: Doumouchtsis
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D011475:Prosthesis Failure / Q000009:adverse effects; D012008:Recurrence; D012086:Reoperation / Q000009:adverse effects; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000209:etiology* / Q000601:surgery*