{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:11:57Z","timestamp":1792098717388,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007543","name":"Agence Nationale de S\u00e9curit\u00e9 du M\u00e9dicament et des Produits de Sant\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007543","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the short\u2010term incidence of serious complications of surgery for urinary incontinence or pelvic organ prolapse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective longitudinal cohort study using a surgical registry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Thirteen public hospitals in France.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>A cohort of 1873 women undergoing surgery between February 2017 and August 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Preliminary analysis of serious complications after a mean follow\u2010up of 7\u00a0months (0\u201318\u00a0months), according to type of surgery. Surgeons reported procedures and complications, which were verified by the hospitals\u2019 information systems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Serious complication requiring discontinuation of the procedure or subsequent surgical intervention, life\u2010threatening complication requiring resuscitation, or death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010two women (2.8%, 95%\u00a0CI 2.1\u20133.6%) experienced a serious complication either during surgery, requiring the discontinuation of the procedure, or during the first months of follow\u2010up, necessitating a subsequent reoperation. One woman also required resuscitation; no women died. Of 811 midurethral slings (MUSs), 11 were removed in part or totally (1.4%, 0.7\u20132.3%), as were two of 391 transvaginal meshes (0.5%, 0.1\u20131.6%), and four of 611 laparoscopically placed mesh implants (0.7%, 0.2\u20131.5%). The incidence of serious complications 6\u00a0months after the surgical procedure was estimated to be around 3.5% (2.0\u20135.0%) after MUS alone, 7.0% (2.8\u201311.3%) after MUS with prolapse surgery, 1.7% (0.0\u20133.8%) after vaginal native tissue repair, 2.8% (0.9\u20134.6%) after transvaginal mesh, and 1.0% (0.1\u20131.9%) after laparoscopy with mesh.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early serious complications are relatively rare. Monitoring must be continued and expanded to assess the long\u2010term risk associated with mesh use and to identify its risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Short\u2010term serious complications are rare after surgery for urinary incontinence or pelvic organ prolapse, even with mesh.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.15956","type":"journal-article","created":{"date-parts":[[2019,9,23]],"date-time":"2019-09-23T04:43:35Z","timestamp":1569213815000},"page":"88-97","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Complications after pelvic floor repair surgery (with and without mesh): short\u2010term incidence after 1873 inclusions in the French VIGI\u2010MESH 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