, Volume 20, Issue 8, pp 893-896
Date: 10 Jun 2009

Complications of vaginal mesh: our experience

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In the January issue of this journal, an interesting study on “Management of complications arising from transvaginal mesh kit procedures” [1] and a “Review of synthetic mesh-related complications in pelvic floor reconstructive surgery” [2] reopened this much debated problem. First, we straightaway want our readers to know our conflicting interests and also our major concern for objectivity, though B.J. is a patent holder on Prolift™ and both authors have a large implication in studies of the French TVM group and in the many training sessions on this surgical procedure and its complications. Unlike nearly all previous editorials, we would like here not only to describe potential hazards but also encourage the reader to analyse them objectively.

In our opinion, complications of vaginal meshes are often overestimated, sometimes overemphasised, often poorly described and managed.

Complications can be overestimated because it is always easier to publish a complication in an important urologic

This article is discussed in an Editorial which can be found at doi: 10.1007/s00192-009-0927-5.