title: Current role of mesh in vaginal prolapse surgery.
abstract: OBJECTIVE
  This report summarizes the latest literature on transvaginal mesh (TVM) for the treatment of pelvic organ prolapse, with a focus on indications for use and management of complications. We describe trends in TVM by reviewing the recent literature and summarizing national meeting presentations.
  
  
  RESULTS
  Vaginal mesh complications are most often managed surgically, and the majority of patients experiencing mesh-related pain have symptom improvement after intervention. New efforts will focus on identifying variables associated with success after intervention for mesh-related complications, to aid reconstructive pelvic surgeons in outcome prediction and patient counselling.
  
  
  CONCLUSIONS
  Although the use of TVM has plateaued in recent years, we are seeing an exponential rise in synthetic mesh implant removal. Reconstructive pelvic surgeons advising patients with TVM complications should report that surgical intervention is often necessary, improvement rates of pain-related symptoms after surgery are high, and up to a third may require multiple interventions.
authors.affiliation: aFemale Pelvic Medicine and Reconstructive Surgery bDepartment of Obstetrics and Gynecology, MedStar Washington Hospital Center/Georgetown University Hospital, Washington DC, USA.
authors.forename: Lee A
authors.initials: LA
authors.lastname: Richter
authors.forename: Charelle
authors.initials: C
authors.lastname: Carter
authors.forename: Robert E
authors.initials: RE
authors.lastname: Gutman
mesh_terms: D020878:Device Removal; D005260:Female; D006801:Humans; D010149:Postoperative Pain / Q000209:etiology / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D017410:Practice Guidelines as Topic; D019651:Plastic Surgery Procedures; D012008:Recurrence; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome