{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T04:46:34Z","timestamp":1780721194441,"version":"3.54.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,7]]},"abstract":"\n Objective<\/jats:title>\n Recurrence of pelvic organ prolapse (POP) is a potential complication after mesh removal. We evaluated anatomical and functional outcomes preoperatively and postoperatively in patients undergoing mesh excision.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n We conducted a retrospective cohort analysis of consecutive patients who underwent mesh excision from years 2005 to 2009. Anatomical outcomes were evaluated using the POP quantification (POP-Q) system. Recurrence of prolapse was defined as stage II or higher-stage prolapse on the POP-Q system, reoperation for prolapse, or postoperative use of a pessary for prolapse reduction. Functional outcomes were assessed using the pelvic floor distress inventory and pelvic floor impact questionnaire scores.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Data were analyzed from 71 patients who underwent either partial or complete mesh excision. Most (44\/70 [63%]) of the patients underwent partial mesh excision, and 26 patients (37%) underwent total mesh removal. Nineteen patients (26.7%) had preoperative prolapse and 27 (38.0%) of the 71 patients underwent concomitant native tissue prolapse repair. Overall change in POP-Q stage in women who underwent partial removal (median, 0 [\u22121 to 2]) was less advanced than in women with total excision. (median, \u22121 [\u22123 to 0]; P<\/jats:italic> = 0.006) at 1 year postoperatively. Four patients prolapsed to the hymen, with all patients having defects in the anterior compartment. No patients required a second surgery, and one patient was treated with a pessary.<\/jats:p>\n Total pelvic floor distress inventory and pelvic floor impact questionnaire scores before mesh excision were significantly improved 6 months after mesh removal (P<\/jats:italic> < 0.05). Dyspareunia improved significantly after mesh excision (P<\/jats:italic> = 0.034).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n In our patient population, total and partial mesh excision is associated with re-treatment of POP in 1.4% of the patients. Patient functional outcomes significantly improved after mesh removal.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/spv.0b013e31829098a5","type":"journal-article","created":{"date-parts":[[2013,6,21]],"date-time":"2013-06-21T12:57:49Z","timestamp":1371819469000},"page":"202-205","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":20,"title":["Recurrence of Prolapse After Transvaginal Mesh Excision"],"prefix":"10.1097","volume":"19","author":[{"given":"Amy","family":"George","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlena","family":"Mattingly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Woodman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglass","family":"Hale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-4-20241109","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1067\/mob.2002.121897","article-title":"Pelvic organ prolapse surgery in the United States, 1997","volume":"186","author":"Brown","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"R2-4-20241109","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/S0029-7844(97)00058-6","article-title":"Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence","volume":"89","author":"Olsen","year":"1997","journal-title":"Obstet Gynecol"},{"key":"R4-4-20241109","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1097\/AOG.0b013e3181e7d7f8","article-title":"Vaginal mesh for prolapse: a randomized controlled trial","volume":"116","author":"Iglesia","year":"2010","journal-title":"Obstet Gynecol"},{"key":"R5-4-20241109","doi-asserted-by":"crossref","first-page":"73.e1","DOI":"10.1016\/j.ajog.2009.02.028","article-title":"De novo stress incontinence and pelvic muscle symptoms after transvaginal mesh repair","volume":"201","author":"Aungst","year":"2009","journal-title":"Am J Obstet Gynecol"},{"key":"R7-4-20241109","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1111\/j.1447-0756.2008.00820.x","article-title":"Safety of transvaginal mesh procedure: retrospective study of 684 patients","volume":"34","author":"Caquant","year":"2008","journal-title":"J Obstet Gynaecol Res"},{"key":"R8-4-20241109","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1002\/nau.21036","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":"30","author":"Haylen","year":"2011","journal-title":"Neurourol Urodyn"},{"key":"R9-4-20241109","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":"R11-4-20241109","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1067\/S0002-9378(03)00829-9","article-title":"Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence","volume":"189","author":"Clark","year":"2003","journal-title":"Am J Obstet Gynecol"},{"key":"R12-4-20241109","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1097\/AOG.0b013e3181b2b1ae","article-title":"Defining success after surgery for pelvic organ prolapse","volume":"114","author":"Barber","year":"2009","journal-title":"Obstet Gynecol"},{"key":"R13-4-20241109","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1067\/S0002-9378(03)00698-7","article-title":"Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapse?","volume":"189","author":"Swift","year":"2003","journal-title":"Am J Obstet Gynecol"},{"key":"R14-4-20241109","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1007\/s00192-009-1050-3","article-title":"Mesh removal following transvaginal mesh placement: a case series of 104 operations","volume":"21","author":"Marcus-Braun","year":"2010","journal-title":"Int Urogynecol J"}],"container-title":["Female Pelvic Medicine & Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/01436319-201307000-00004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,9]],"date-time":"2024-11-09T18:00:10Z","timestamp":1731175210000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01436319-201307000-00004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1097\/spv.0b013e31829098a5","relation":{},"ISSN":["2151-8378"],"issn-type":[{"value":"2151-8378","type":"print"}],"subject":[],"published":{"date-parts":[[2013,7]]}}}