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Managing chronic pelvic pain following reconstructive pelvic surgery with transvaginal mesh

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Abstract

In 2001, the US Food and Drug Administration (FDA) approved the first transvaginal mesh kit to treat pelvic organ prolapse (POP). Since the introduction of vaginal mesh kits, some vaginal meshes have been associated with chronic pelvic pain after reconstructive pelvic floor surgery. Pelvic pain results in between 0 % and 30 % of patients following transvaginal mesh placement. Common causes of chronic pelvic pain include pelvic floor muscle spasm, pudendal neuralgia, and infection. Paucity of data exists on the effective management of chronic pelvic pain after pelvic reconstructive surgery with mesh. We outline the management of chronic pelvic pain after transvaginal mesh placement for reconstructive pelvic floor repair based on our clinical experience and adaptation of data used in other aspects of managing chronic pelvic pain conditions.

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Authors and Affiliations

  1. Minimally Invasive Gynecology, 3004 17th Street, St Cloud, FL, 34769, USA

    Anthony N. Gyang

  2. Advanced Gynecology and Minimally Invasive Surgery, 2415 N Orange Avenue, Suite 300, Orlando, FL, 32804, USA

    Jessica B. Feranec & Georgine M. Lamvu

  3. Winter Park Urology Associates, 1812N Mills Avenue, Orlando, FL, 32803, USA

    Rakesh C. Patel

Authors
  1. Anthony N. Gyang
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  2. Jessica B. Feranec
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  3. Rakesh C. Patel
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  4. Georgine M. Lamvu
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Correspondence to Anthony N. Gyang.

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Gyang, A.N., Feranec, J.B., Patel, R.C. et al. Managing chronic pelvic pain following reconstructive pelvic surgery with transvaginal mesh. Int Urogynecol J 25, 313–318 (2014). https://doi.org/10.1007/s00192-013-2256-y

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  • DOI: https://doi.org/10.1007/s00192-013-2256-y

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