{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:43:24Z","timestamp":1786977804598,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T00:00:00Z","timestamp":1691798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze urodynamics findings and patient\u2010reported outcomes after removal of a mid\u2010urethral mesh because data regarding outcomes following mesh removal vary in different studies, and mesh removal itself may have risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Women who were referred to the Female Pelvic Medicine and Reconstructive Surgery Department of University College London Hospital and underwent vaginal removal of a continence mesh between January 2014 and January 2020, were included. Patient clinical data and results of video\u2010urodynamics investigations performed 4\u2009months after mesh removal were collected and analyzed retrospectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In all, 204 patients were included in the study. After mesh removal, 80.5% of patients reported recurrent stress urinary incontinence (SUI), 10.1% reported prolapse symptoms, 8% reported voiding dysfunction and 2.9% reported overactive bladder (OAB) symptoms. Video\u2010urodynamics investigations confirmed the presence of SUI (67.6%), mixed urinary incontinence (14.3%), detrusor overactivity (DO) (6.8%) and voiding dysfunction in one patient. In two women a urethral stricture was described, and 10 women were deemed to have a significant cystocele.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Recurrence of SUI was the most frequent finding after continence mesh removal, both symptomatically and objectively. Women seldom reported OAB symptoms, but urodynamics showed evidence of DO despite this. On the other hand, voiding dysfunction was often reported but less often proven on urodynamics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15051","type":"journal-article","created":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T03:49:45Z","timestamp":1691812185000},"page":"334-338","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Postoperative outcomes and urodynamic findings after continence mesh removal"],"prefix":"10.1002","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4891-9270","authenticated-orcid":false,"given":"Stefania","family":"Palmieri","sequence":"first","affiliation":[{"name":"London Complex Mesh Centre, Directorate of Women's Health University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Kuria","sequence":"additional","affiliation":[{"name":"Female Pelvic Medicine and Reconstructive Surgery Research Group, Institute for Women's Health, Faculty of Population Sciences University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwendoline","family":"Gonzales","sequence":"additional","affiliation":[{"name":"Female Pelvic Medicine and Reconstructive Surgery Research Group, Institute for Women's Health, Faculty of Population Sciences University College London  London UK"},{"name":"Department of Uro\u2010Neurology National Hospital for Neurology and Neurosurgery  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Sarfoh","sequence":"additional","affiliation":[{"name":"London Complex Mesh Centre, Directorate of Women's Health University College London Hospitals NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohier","family":"Elneil","sequence":"additional","affiliation":[{"name":"London Complex Mesh Centre, Directorate of Women's Health University College London Hospitals NHS Foundation Trust  London UK"},{"name":"Female Pelvic Medicine and Reconstructive Surgery Research Group, Institute for Women's Health, Faculty of Population Sciences University College London  London UK"},{"name":"Department of Uro\u2010Neurology National Hospital for Neurology and Neurosurgery  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.11.008"},{"issue":"12","key":"e_1_2_8_3_1","first-page":"1895","article-title":"Graft and mesh use in vaginal surgery","volume":"67","author":"Rizvi RM","year":"2017","journal-title":"J Pak Med Assoc"},{"key":"e_1_2_8_4_1","volume-title":"First Do No Harm \u2010 The report of the Independent Medicines and Medical Devices Safety Review","author":"Cumberlege J","year":"2020"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2090-2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-11821-w"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.4200"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2019.1626230"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2012.07.098"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2019.1575355"},{"issue":"1","key":"e_1_2_8_11_1","first-page":"2","article-title":"An International Association (IUGA)\/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (mesh, implants, tapes) & grafts in female pelvic floor surgery","volume":"30","author":"Haylen BT","year":"2011","journal-title":"Int Urogynecol J"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.04.006"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07608.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10066"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.03.039"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1552934"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2018.07.010"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-018-0762-7"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23328"}],"container-title":["International Journal of Gynecology &amp; 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