title: Outcomes following treatment for pelvic floor mesh complications.
abstract: OBJECTIVE
  Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications.
  
  
  METHODS
  This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral centers for management of vaginal-mesh-related complications. Study participants completed a one-time follow-up survey regarding any additional treatment, current symptoms, and degree of improvement from initial presentation.
  
  
  RESULTS
  Two hundred and sixty women received surveys; we had a response rate of 41.1 % (107/260). Complete data were available for 101 respondents. Survey respondents were more likely to be postmenopausal (p = 0.006), but otherwise did not differ from nonrespondents. Fifty-one percent (52/101) of women underwent surgery as the primary intervention for their mesh complication; 8 % (4/52) underwent a second surgery; 34 % (17/52) required a second nonsurgical intervention. Three patients required three or more surgeries. Of the 30 % (30/101) of respondents who reported pelvic pain prior to intervention, 63 % (19/30) reported improvement, 30 % (9/30) were worse, and 7 % (2/30) reported no change. Of the 33 % (33/101) who reported voiding dysfunction prior to intervention, 61 % (20/33) reported being at least somewhat bothered by these symptoms.
  
  
  CONCLUSIONS
  About 50 % of women with mesh complications in this study underwent surgical management as treatment, and <10 % required a second surgery. Most patients with pain preintervention reported significant improvement after treatment; however, almost a third reported worsening pain or no change after surgical management. Less than half of patients with voiding dysfunction improved after intervention.
authors: Center for Urogynecology and Reconstructive Pelvic Surgery, Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic, Mail Code A81, 9500 Euclid Avenue, Cleveland, OH, 44195, USA, cecile.a.unger@gmail.com.
authors: C A
authors: CA
authors: Unger
authors: S
authors: S
authors: Abbott
authors: J M
authors: JM
authors: Evans
authors: K
authors: K
authors: Jallad
authors: K
authors: K
authors: Mishra
authors: M M
authors: MM
authors: Karram
authors: C B
authors: CB
authors: Iglesia
authors: C R
authors: CR
authors: Rardin
authors: M D
authors: MD
authors: Barber
mesh_terms: D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015337:Multicenter Studies as Topic; D017773:Pelvic Floor / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome; D014621:Vagina