title: Vaginal Mesh in Pelvic Reconstructive Surgery: Controversies, Current Use, and Complications.
abstract: In 2001, the Food and Drug Administration approved the first surgical mesh product specifically designed for the surgical repair of pelvic organ prolapse and between 2004 and 2008, the use of vaginal mesh in gynecologic surgery was at its peak. Unfortunately, the rise in transvaginal mesh use was accompanied by a surge of adverse events and mesh-related complications. As a result, the Food and Drug Administration put forth several efforts to regulate the manufacturing of vaginal mesh products. These notifications have been supported by several gynecologic societies, and recommendations now exist not only on the placement of mesh and patient selection, but also on the evaluation and management of mesh-related complications. In addition, data on outcomes following management of these complications are now emerging.
authors.affiliation: Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology, & Women's Health Institute, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Cecile A
authors.initials: CA
authors.lastname: Unger
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Barber
mesh_terms: D005260:Female; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy*; D011475:Prosthesis Failure / Q000009:adverse effects; D019919:Prosthesis Implantation / Q000379:methods*; D013526:Surgical Mesh / Q000009:adverse effects* / Q000639:trends