Skip to main content

Advertisement

SpringerLink
Log in

Update in Management of Vaginal Mesh Erosion

  • Surgical Techniques (J Cadeddu and A Stenzl, Section Editors)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Mesh erosion is one of the major complications of prolapse surgery conducted by transvaginal approach. Following the extensive use of meshes and warning about potential complications, a new classification of mesh-related adverse events has been proposed. Due to the wide scope of clinical features, no standardized approach has been proposed. Surgery is required after failure of conservative management, mostly based on mesh partial or total excision by transvaginal route, following the classic rules of re-do vaginal surgery. Complex cases are best managed in tertiary reference centers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311–6.

    Article  PubMed  CAS  Google Scholar 

  2. Cammu H, Saeys F, Haentjens P. Dramatic increase (1997–2007) in the number of procedures for stress urinary incontinence in Belgium. Int Urogynecol J. 2010;21(12):1511–5.

    Article  PubMed  Google Scholar 

  3. Wu JM, Kawasaki A, Hundley AF, Dieter AA, Myers ER, Sung VW. Predicting the number of women who will undergo incontinence and prolapse surgery, 2010 to 2050. Am J Obstet Gynecol. 2011;205(3):230.e1–5.

    Article  Google Scholar 

  4. Abrams P, Cardozo L, Wein A. The 2nd International Consultation on Incontinence, Research Society (ICI-RS) meeting 2010. Neurourol Urodyn. 2011;30(5):683.

    Article  PubMed  Google Scholar 

  5. •• Haylen BT, Freeman RM, Swift SE, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn. 2011;30(1):2–12. This manuscript details the new references for identifying and classifying the complications of eroded vaginal mesh.

    Article  PubMed  Google Scholar 

  6. Ganatra AM, Rozet F, Sanchez-Salas R, et al. The current status of laparoscopic sacrocolpopexy: a review. Eur Urol. 2009;55(5):1089–103.

    Article  PubMed  Google Scholar 

  7. Ross JW, Preston M. Laparoscopic sacrocolpopexy for severe vaginal vault prolapse: five-year outcome. J Minim Invasive Gynecol. 2005;12(3):221–6.

    Article  PubMed  Google Scholar 

  8. Higgs PJ, Chua HL, Smith AR. Long term review of laparoscopic sacrocolpopexy. BJOG. 2005;112(8):1134–8.

    Article  PubMed  CAS  Google Scholar 

  9. •• Nygaard I, Brubaker L, Zyczynski HM, et al. Long-term outcomes following abdominal sacrocolpopexy for pelvic organ prolapse. JAMA. 2013;309(19):2016–24. This paper is the most important follow-up for an RCT on the topic..

    Article  PubMed  CAS  Google Scholar 

  10. •• Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013;4:CD004014. doi:10.1002/14651858.CD004014.pub5. This updated systematic review describes the evidence available for POP surgery in 2013.

  11. Abed H, Rahn DD, Lowenstein L, et al. Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review. Int Urogynecol J. 2011;22(7):789–98.

    Article  PubMed  Google Scholar 

  12. Birch C. The use of prosthetics in pelvic reconstructive surgery. Best Pract Res Clin Obstet Gynaecol. 2005;19(6):979–91.

    Article  PubMed  Google Scholar 

  13. Nguyen JN, Jakus-Waldman SM, Walter AJ, White T, Menefee SA. Perioperative complications and reoperations after incontinence and prolapse surgeries using prosthetic implants. Obstet Gynecol. 2012;119(3):539–46.

    Article  PubMed  Google Scholar 

  14. Khong SY, Lam A. Use of Surgisis mesh in the management of polypropylene mesh erosion into the vagina. Int Urogynecol J. 2011;22(1):41–6.

    Article  PubMed  Google Scholar 

  15. Deffieux X, Huel C, de Tayrac R, et al. Vaginal mesh extrusion after transvaginal repair of cystocele using a prosthetic mesh: treatment and functional outcomes. J Gynecol Obstet Biol Reprod (Paris). 2006;35(7):678–84.

    Article  CAS  Google Scholar 

  16. Costantini E, Zucchi A, Lazzeri M, Del Zingaro M, Vianello A, Porena M. Managing mesh erosion after abdominal pelvic organ prolapse repair: ten years' experience in a single center. Urol Int. 2011;86(4):419–23.

    Article  PubMed  Google Scholar 

  17. • Elmer C, Blomgren B, Falconer C, Zhang A, Altman D. Histological inflammatory response to transvaginal polypropylene mesh for pelvic reconstructive surgery. J Urol. 2009;181(3):1189–95. This original research investigates and document the cellular pathomechanisms of erosion of transvaginal meshes, shedding a new light on the issue..

    Article  PubMed  Google Scholar 

  18. Hurtado EA, Appell RA. Management of complications arising from transvaginal mesh kit procedures: a tertiary referral center's experience. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(1):11–7.

    Article  PubMed  Google Scholar 

  19. Marcus-Braun N, von Theobald P. Mesh removal following transvaginal mesh placement: a case series of 104 operations. Int Urogynecol J. 2010;21(4):423–30.

    Article  PubMed  Google Scholar 

  20. Shaker D. Surgical management of vaginal mesh erosion: an alternative to excision. Int Urogynecol J. 2010;21(4):499–501.

    Article  PubMed  Google Scholar 

  21. Al-Badr A. Martius graft for management of exposed vaginal prolapse mesh. J Minim Invasive Gynecol. 2013;20(2):227–9.

    Article  PubMed  Google Scholar 

  22. Heisler CA, Casiano ER, Klingele CJ, Gebhart JB, Trabuco EC. Ureteral injury during vaginal mesh excision: role of prevention and treatment options. Am J Obstet Gynecol. 2012;207(6):e3–4.

    Article  PubMed  Google Scholar 

  23. Burks D, Rosenbury SB, Kennelly MJ, Fried NM. Selective laser vaporization of polypropylene mesh used in treatment of female stress urinary incontinence and pelvic organ prolapse: preliminary studies using a red diode laser. Lasers Surg Med. 2012;44(4):325–9.

    Article  PubMed  Google Scholar 

  24. Khong SY, Lam A. Laparoscopic removal of mesh used in pelvic floor surgery. J Minim Invasive Gynecol. 2009;16(5):592–4.

    Article  PubMed  Google Scholar 

Download references

Compliance with Ethics Guidelines

ᅟ

Conflict of Interest

Dr. Jean-Nicolas Cornu reported receiving consultancies from Biocompatible UK, Pfizer, and GSK. Dr. Cornu had travel/accommodations expenses covered or reimbursed by Bard and Bouchara-Recordati.

Dr. Laurence Peyrat reported no potential conflicts of interest relevant to this article.

Dr. François Haab reported receiving consultancies from AMS and Bard.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

  1. Department of Urology, Groupe Hospitalo-Universitaire Paris-Est, Tenon Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Faculté de Médecine Pierre et Marie Curie, University Paris VI, Paris, France

    Jean-Nicolas Cornu, Laurence Peyrat & François Haab

  2. Urology Unit, Tenon Hospital, 4, rue de la chine, 75020, Paris, France

    Jean-Nicolas Cornu

Authors
  1. Jean-Nicolas Cornu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Laurence Peyrat
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. François Haab
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jean-Nicolas Cornu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cornu, JN., Peyrat, L. & Haab, F. Update in Management of Vaginal Mesh Erosion. Curr Urol Rep 14, 471–475 (2013). https://doi.org/10.1007/s11934-013-0357-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11934-013-0357-2

Keywords

Search

Navigation