title: Management of Mesh Complications after SUI and POP Repair: Review and Analysis of the Current Literature.
abstract: OBJECTIVE
  To evaluate the surgical treatment concepts for the complications related to the implantation of mesh material for urogynecological indications.
  
  
  METHODS
  A review of the current literature on PubMed was performed.
  
  
  RESULTS
  Only retrospective studies were detected. The rate of mesh-related complications is about 15-25% and mesh erosion is up to 10% for POP and SUI repair. Mesh explantation is necessary in about 1-2% of patients due to complications. The initial approach appears to be an early surgical treatment with partial or complete mesh resection. Vaginal and endoscopic access for mesh resection is favored. Prior to recurrent surgeries, a careful examination and planning for the operation strategy are crucial.
  
  
  CONCLUSIONS
  The data on the management of mesh complication is scarce. Revisions should be performed by an experienced surgeon and a proper follow-up with prospective documentation is essential for a good outcome.
authors.affiliation: Department of Urology, Lukas Hospital, Preussenstrasse 84, 41464 Neuss, Germany.
authors.forename: D
authors.identifier: 0000-0001-8611-8250
authors.initials: D
authors.lastname: Barski
authors.affiliation: Department of Urology, University of California, 400 Parnassus Avenue A633, P.O. Box 0738, San Francisco, CA 94143-0738, USA.
authors.forename: D Y
authors.initials: DY
authors.lastname: Deng
mesh_terms: D005260:Female; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D013526:Surgical Mesh / Q000009:adverse effects*