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Management of Vaginal Mesh Exposures Following Female Pelvic Reconstructive Surgery

  • Lower Urinary Tract Symptoms and Voiding Dysfunction (J Sandhu, Section Editor)
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Abstract

Purpose of Review

To discuss considerations and current evidence for the diagnosis and management of vaginal mesh exposures following female mesh-augmented anti-incontinence and pelvic organ prolapse surgery.

Recent Findings

Since the introduction of mesh into female pelvic surgery, various applications have been reported, each with their own unique risk profile. The most commonly encountered mesh-related complication is vaginal mesh exposure. Current evidence on the management of vaginal mesh exposure is largely limited to observational studies and case series, though this is continuing to expand. We present a synthesis of the available data, as well as clinical and surgical approaches to managing this complication.

Summary

It is important for surgeons to be familiar with the management of vaginal mesh exposures. Depending on the patient’s presentation and goals, there is a role for conservative measures, mesh revision, or mesh excision. Further study is warranted to standardize mesh resection techniques and explore non-surgical treatments.

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  1. Division of Urogynecology, Mayo Clinic Department of OB/Gyn, Rochester, MN, USA

    Cassandra K. Kisby & Brian J. Linder

  2. Mayo Clinic Department of Urology, Rochester, MN, USA

    Brian J. Linder

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Kisby, C.K., Linder, B.J. Management of Vaginal Mesh Exposures Following Female Pelvic Reconstructive Surgery. Curr Urol Rep 21, 57 (2020). https://doi.org/10.1007/s11934-020-01002-0

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