{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:35:54Z","timestamp":1793104554081,"version":"4.5.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,1]]},"abstract":"\n OBJECTIVE:<\/jats:title>\n Complications from transvaginal mesh placed for prolapse often require operative management. The aim of this study is to describe the outcomes of vaginal mesh removal.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n \n A retrospective review of all patients having surgery by the urogynecology group in the department of obstetrics and gynecology at our institution for a complication of transvaginal mesh placed for prolapse was performed. Demographics, presenting symptoms, surgical procedures, and postoperative symptoms were abstracted. Comparative statistics were performed using the \u03c7\n 2<\/jats:sup>\n or Fisher\u2019s exact test with significance at\n P<\/jats:italic>\n <.05.\n <\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n Between January 2008 and April 2012, 90 patients had surgery for complications related to vaginal mesh and 84 had follow-up data. The most common presenting signs and symptoms were: mesh exposure, 62% (n=56); pain, 64% (n=58); and dyspareunia, 48% (n=43). During operative management, mesh erosion was encountered unexpectedly in a second area of the vagina in 5% (n=4), in the bladder in 1% (n=1), and in the bowel in 2% (n=2). After vaginal mesh removal, 51% (n=43) had resolution of all presenting symptoms. Mesh exposure was treated successfully in 95% of patients, whereas pain was only successfully treated in 51% of patients.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Removal of vaginal mesh is helpful in relieving symptoms of presentation. Patients can be reassured that exposed mesh can almost always be successfully managed surgically, but pain and dyspareunia are only resolved completely in half of patients.<\/jats:p>\n <\/jats:sec>\n \n LEVEL OF EVIDENCE:<\/jats:title>\n III<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/aog.0000000000000042","type":"journal-article","created":{"date-parts":[[2013,12,9]],"date-time":"2013-12-09T04:18:57Z","timestamp":1386562737000},"page":"134-139","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":75,"title":["Symptom Resolution After Operative Management of Complications From Transvaginal Mesh"],"prefix":"10.1097","volume":"123","author":[{"given":"Erin C.","family":"Crosby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Abernethy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell B.","family":"Berger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John O.","family":"DeLancey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dee E.","family":"Fenner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel M.","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-19-20261027","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.ejogrb.2011.07.024","article-title":"Mesh complications following prolapse surgery: management and outcome","volume":"159","author":"Skala","year":"2011","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R3-19-20261027","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1097\/01.AOG.0000177970.52037.0a","article-title":"Severe mesh complications following intravaginal slingplasty","volume":"106","author":"Baessler","year":"2005","journal-title":"Obstet Gynecol"},{"key":"R4-19-20261027","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.ijgo.2005.11.005","article-title":"The use of graft materials in vaginal pelvic floor surgery","volume":"92","author":"Huebner","year":"2006","journal-title":"Int J Gynaecol Obstet"},{"key":"R6-19-20261027","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.ejogrb.2012.03.002","article-title":"Persistent pelvic pain following transvaginal mesh surgery: a cause for mesh removal","volume":"162","author":"Marcus-Braun","year":"2012","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R7-19-20261027","doi-asserted-by":"crossref","first-page":"678.e1","DOI":"10.1016\/j.ajog.2008.07.049","article-title":"Complications requiring reoperation following vaginal mesh kit procedures for prolapse","volume":"199","author":"Margulies","year":"2008","journal-title":"Am J Obstet Gynecol"},{"key":"R8-19-20261027","doi-asserted-by":"crossref","first-page":"703.e1","DOI":"10.1016\/j.ajog.2008.07.055","article-title":"Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits","volume":"199","author":"Ridgeway","year":"2008","journal-title":"Am J Obstet Gynecol"},{"key":"R9-19-20261027","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1097\/AOG.0b013e3181cbca4d","article-title":"Vaginal mesh contraction: definition, clinical presentation, and management","volume":"115","author":"Feiner","year":"2010","journal-title":"Obstet Gynecol"},{"key":"R10-19-20261027","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s00192-008-0721-9","article-title":"Management of complications arising from transvaginal mesh kit procedures: a tertiary referral center's experience","volume":"20","author":"Hurtado","year":"2009","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"R11-19-20261027","doi-asserted-by":"crossref","first-page":"1674","DOI":"10.1016\/j.juro.2011.12.066","article-title":"Purely transvaginal\/perineal management of complications from commercial prolapse kits using a new prostheses\/grafts complication classification system","volume":"187","author":"Firoozi","year":"2012","journal-title":"J Urol"},{"key":"R12-19-20261027","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00192-010-1324-9","article-title":"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","volume":"22","author":"Haylen","year":"2011","journal-title":"Int Urogynecol J"}],"updated-by":[{"DOI":"10.1097\/aog.0000000000005734","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000}}],"container-title":["Obstetrics & 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