{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T06:08:25Z","timestamp":1790489305661,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,6,5]],"date-time":"2015-06-05T00:00:00Z","timestamp":1433462400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The Food and Drug Administration has recently highlighted an increase in reported complications associated with the use of transvaginal mesh.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To describe the clinical outcomes, presentation, timing and management of mesh exposure\/extrusion<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Retrospective study from December 2006 to March 2012. A total of 40 women had vaginal mesh exposure\/extrusion secondary to prior transvaginal mesh (<jats:styled-content style=\"fixed-case\">TVM<\/jats:styled-content>) surgery. Descriptive statistics were used for demographics and pre\u2010operative data. Paired\u2010samples <jats:italic>t\u2010<\/jats:italic>test was applied for comparison of pre\u2010 and postoperation. A <jats:italic>P<\/jats:italic> value of &lt;0.05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mesh exposure\/extrusion rate was noted to be 2.64% (17\/642). Vaginal bleeding in 29 of 40 (72.5%) and hispareunia in 12 of 13 (92.3%) were identified as the most common symptoms for mesh exposure\/extrusion. The onset of complications occurred in two peaks: between 3 and 4\u00a0months and after 1\u2010year of follow\u2010up. Initial conservative treatment was given for 12.5% (5\/40) of women, while 87.5% (35\/40) had undergone repair for mesh exposure\/extrusion (21 outpatient and 14 inpatient cases). Among those who had conservative treatment, 80% (4\/5) had persistent mesh exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Persistent or new\u2010onset abnormal vaginal bleeding and hispareunia after <jats:styled-content style=\"fixed-case\">TVM<\/jats:styled-content> surgery should be considered as \u2018red flag\u2019 symptoms for mesh exposure\/extrusion. Frequent follow\u2010up from the first 3\u20134\u00a0months up to 1\u00a0year postoperative may identify complications. Utilisation of mesh excision or trimming as the initial means of treatment may yield a better outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12340","type":"journal-article","created":{"date-parts":[[2015,6,5]],"date-time":"2015-06-05T10:22:33Z","timestamp":1433499753000},"page":"284-290","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Clinical outcomes of mesh exposure\/extrusion: presentation, timing and management"],"prefix":"10.1111","volume":"55","author":[{"given":"Tsia\u2010Shu","family":"Lo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Keelung and Taipei, Medical Center Chang Gung Memorial Hospital Keelung Taiwan"},{"name":"Division of Urogynecology Department of Obstetrics and Gynecology Chang Gung Memorial Hospital Linkou Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiap Loong","family":"Tan","sequence":"additional","affiliation":[{"name":"Fellow of the Division of Urogynecology Department of Obstetrics and Gynecology School of Medicine Chang Gung Memorial Hospital Chang Gung University Taoyuan Taiwan"},{"name":"Kuching Specialist Hospital  KPJ and Department of Obstetrics and Gynecology Sarawak General Hospital Kuching Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen Feliz M.","family":"Cortes","sequence":"additional","affiliation":[{"name":"Fellow of the Division of Urogynecology Department of Obstetrics and Gynecology School of Medicine Chang Gung Memorial Hospital Chang Gung University Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynecology De La Salle University Medical Center Dasmari\u00f1as Cavite Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei\u2010Ying","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Keelung and Taipei, Medical Center Chang Gung Memorial Hospital Keelung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leng Boi","family":"Pue","sequence":"additional","affiliation":[{"name":"Fellow of the Division of Urogynecology Department of Obstetrics and Gynecology School of Medicine Chang Gung Memorial Hospital Chang Gung University Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynecology Hospital Serdang Kajang Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahlam","family":"AL\u2010Kharabsheh","sequence":"additional","affiliation":[{"name":"Fellow of the Division of Urogynecology Department of Obstetrics and Gynecology School of Medicine Chang Gung Memorial Hospital Chang Gung University Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynecology King Abdullah University Hospital University of Science and Technology Irbid Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,6,5]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1384-5"},{"key":"e_1_2_5_3_1","first-page":"1109","article-title":"Harnessing a health information exchange to identify surgical device adverse events for urogynecologic mesh","volume":"2012","author":"Ballard J","year":"2012","journal-title":"AMIA Annu Symp Proc"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1679-1"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1324-9"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2011.02261.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0976-9"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e31827de9f8"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.98453"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1095\/biolreprod.113.112367"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-1009-4"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1476-2"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01558.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"crossref","first-page":"354897","DOI":"10.1155\/2012\/354897","article-title":"Incidence of extrusion following type I polypropylene mesh \u201ckit\u201d repairs in the correction of pelvic organ prolapse","volume":"2012","author":"Lukban JC","year":"2012","journal-title":"Obstet Gynecol Int"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1266-2"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12340","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T09:13:34Z","timestamp":1695546814000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1111\/ajo.12340"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12340","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]},"assertion":[{"value":"2014-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-03-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-06-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}