Original Article

International Urogynecology Journal

, Volume 24, Issue 12, pp 2087-2092

First online:

Mesh retraction correlates with vaginal pain and overactive bladder symptoms after anterior vaginal mesh repair

  • A. RogowskiAffiliated withDepartment of Gynecology and Oncological Gynecology, Military Institute of Medicine Email author 
  • , P. BienkowskiAffiliated withDepartment of Pharmacology, Institute of Psychiatry and Neurology
  • , A. TosiakAffiliated withDepartment of Gynecology and Oncological Gynecology, Military Institute of Medicine
  • , M. JerzakAffiliated withDepartment of Gynecology and Oncological Gynecology, Military Institute of Medicine
  • , P. MierzejewskiAffiliated withDepartment of Pharmacology, Institute of Psychiatry and Neurology
  • , W. BaranowskiAffiliated withDepartment of Gynecology and Oncological Gynecology, Military Institute of Medicine

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Introduction and hypothesis

The aim of the present study was to determine possible correlations between mesh retraction after anterior vaginal mesh repair and de novo stress urinary incontinence (SUI), overactive bladder (OAB), and vaginal pain symptoms.

Methods

One hundred and three women with symptomatic prolapse of the anterior vaginal wall, stages 3 and 4 based on the Pelvic Organ Prolapse Quantification (POP-Q) system, underwent Prolift anterior™ implantation. At a 6-month follow-up, the patients were interviewed for de novo SUI, OAB, and vaginal pain, and underwent an introital/transvaginal ultrasound examination to measure the mesh length in the midsagittal plane.

Results

Mesh retraction was significantly larger in a subgroup of patients (n = 20; 19.4 %) presenting de novo OAB symptoms on the follow-up assessment compared with those without this complication (5.0 cm vs. 4.3 cm; p < 0.05). Mesh retraction was also significantly larger in a subgroup of patients (n = 23; 22.3 %) reporting postoperative vaginal pain compared with the women who did not report any postoperative vaginal pain (5.3 cm vs. 4.2 cm; p < 0.01). A significant correlation was found between mesh retraction and the severity of vaginal pain (R = 0.4, p < 0.01). Mesh retraction did not differ between patients with de novo SUI symptoms and those without this complication.

Conclusions

Mesh retraction assessed on ultrasound examination after anterior vaginal mesh repair may correlate with de novo OAB symptoms and vaginal pain.

Keywords

Introital/transvaginal ultrasound Mesh retraction Overactive bladder Prolift anterior implantation Stress urinary incontinence Vaginal pain