Outcomes following treatment for pelvic floor mesh complications
Introduction and hypothesis Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications. Methods This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral cen...
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| Veröffentlicht in: | International Urogynecology Journal 2014-06, Vol.25 (6), p.745-749 |
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| container_title | International Urogynecology Journal |
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| creator | Unger, C. A. Abbott, S. Evans, J. M. Jallad, K. Mishra, K. Karram, M. M. Iglesia, C. B. Rardin, C. R. Barber, M. D. |
| description | Introduction and hypothesis
Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications.
Methods
This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral centers for management of vaginal-mesh-related complications. Study participants completed a one-time follow-up survey regarding any additional treatment, current symptoms, and degree of improvement from initial presentation.
Results
Two hundred and sixty women received surveys; we had a response rate of 41.1 % (107/260). Complete data were available for 101 respondents. Survey respondents were more likely to be postmenopausal (
p
= 0.006), but otherwise did not differ from nonrespondents. Fifty-one percent (52/101) of women underwent surgery as the primary intervention for their mesh complication; 8 % (4/52) underwent a second surgery; 34 % (17/52) required a second nonsurgical intervention. Three patients required three or more surgeries. Of the 30 % (30/101) of respondents who reported pelvic pain prior to intervention, 63 % (19/30) reported improvement, 30 % (9/30) were worse, and 7 % (2/30) reported no change. Of the 33 % (33/101) who reported voiding dysfunction prior to intervention, 61 % (20/33) reported being at least somewhat bothered by these symptoms.
Conclusions
About 50 % of women with mesh complications in this study underwent surgical management as treatment, and |
| doi_str_mv | 10.1007/s00192-013-2282-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1528883758</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1528883758</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-546aabc9e71dbf334983593346e0237688b9d21c2326e48afafd053392a3887d3</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMo7rr6A7xIwYuX6iTTNslNWfyChb3oOaRtunZpm5q0iv_eLFURwdMwk2feDA8hpxQuKQC_8gBUshgoxowJFss9MqcJYozAcJ_MQSKPMcnYjBx5vwWABFI4JDOWIBVplszJ9XocCtsaH1W2aex73W2iwRk9tKYbwsxFvWne6iKqGhuaAL5Ege-butBDbTt_TA4q3Xhz8lUX5Pnu9mn5EK_W94_Lm1VcIGdDnCaZ1nkhDadlXiEmUmAqQ81MuJVnQuSyZLRgyDKTCF3pqoQUUTKNQvASF-Riyu2dfR2NH1Rb-8I0je6MHb2iKRNCIE9FQM__oFs7ui5ct6O4ROApBIpOVOGs985Uqnd1q92HoqB2etWkVwW9aqdXybBz9pU85q0pfza-fQaATYAPT93GuF9f_5v6Cc9gg6A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1527930750</pqid></control><display><type>article</type><title>Outcomes following treatment for pelvic floor mesh complications</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Unger, C. A. ; Abbott, S. ; Evans, J. M. ; Jallad, K. ; Mishra, K. ; Karram, M. M. ; Iglesia, C. B. ; Rardin, C. R. ; Barber, M. D.</creator><creatorcontrib>Unger, C. A. ; Abbott, S. ; Evans, J. M. ; Jallad, K. ; Mishra, K. ; Karram, M. M. ; Iglesia, C. B. ; Rardin, C. R. ; Barber, M. D.</creatorcontrib><description>Introduction and hypothesis
Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications.
Methods
This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral centers for management of vaginal-mesh-related complications. Study participants completed a one-time follow-up survey regarding any additional treatment, current symptoms, and degree of improvement from initial presentation.
Results
Two hundred and sixty women received surveys; we had a response rate of 41.1 % (107/260). Complete data were available for 101 respondents. Survey respondents were more likely to be postmenopausal (
p
= 0.006), but otherwise did not differ from nonrespondents. Fifty-one percent (52/101) of women underwent surgery as the primary intervention for their mesh complication; 8 % (4/52) underwent a second surgery; 34 % (17/52) required a second nonsurgical intervention. Three patients required three or more surgeries. Of the 30 % (30/101) of respondents who reported pelvic pain prior to intervention, 63 % (19/30) reported improvement, 30 % (9/30) were worse, and 7 % (2/30) reported no change. Of the 33 % (33/101) who reported voiding dysfunction prior to intervention, 61 % (20/33) reported being at least somewhat bothered by these symptoms.
Conclusions
About 50 % of women with mesh complications in this study underwent surgical management as treatment, and <10 % required a second surgery. Most patients with pain preintervention reported significant improvement after treatment; however, almost a third reported worsening pain or no change after surgical management. Less than half of patients with voiding dysfunction improved after intervention.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-013-2282-9</identifier><identifier>PMID: 24318564</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Equipment Failure ; Female ; Follow-Up Studies ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Multicenter Studies as Topic ; Original Article ; Pelvic Floor - surgery ; Postoperative Complications - etiology ; Postoperative Complications - therapy ; Retrospective Studies ; Surgical Mesh - adverse effects ; Treatment Outcome ; Urology ; Vagina</subject><ispartof>International Urogynecology Journal, 2014-06, Vol.25 (6), p.745-749</ispartof><rights>The International Urogynecological Association 2013</rights><rights>The International Urogynecological Association 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-546aabc9e71dbf334983593346e0237688b9d21c2326e48afafd053392a3887d3</citedby><cites>FETCH-LOGICAL-c372t-546aabc9e71dbf334983593346e0237688b9d21c2326e48afafd053392a3887d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-013-2282-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-013-2282-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24318564$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Unger, C. A.</creatorcontrib><creatorcontrib>Abbott, S.</creatorcontrib><creatorcontrib>Evans, J. M.</creatorcontrib><creatorcontrib>Jallad, K.</creatorcontrib><creatorcontrib>Mishra, K.</creatorcontrib><creatorcontrib>Karram, M. M.</creatorcontrib><creatorcontrib>Iglesia, C. B.</creatorcontrib><creatorcontrib>Rardin, C. R.</creatorcontrib><creatorcontrib>Barber, M. D.</creatorcontrib><title>Outcomes following treatment for pelvic floor mesh complications</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications.
Methods
This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral centers for management of vaginal-mesh-related complications. Study participants completed a one-time follow-up survey regarding any additional treatment, current symptoms, and degree of improvement from initial presentation.
Results
Two hundred and sixty women received surveys; we had a response rate of 41.1 % (107/260). Complete data were available for 101 respondents. Survey respondents were more likely to be postmenopausal (
p
= 0.006), but otherwise did not differ from nonrespondents. Fifty-one percent (52/101) of women underwent surgery as the primary intervention for their mesh complication; 8 % (4/52) underwent a second surgery; 34 % (17/52) required a second nonsurgical intervention. Three patients required three or more surgeries. Of the 30 % (30/101) of respondents who reported pelvic pain prior to intervention, 63 % (19/30) reported improvement, 30 % (9/30) were worse, and 7 % (2/30) reported no change. Of the 33 % (33/101) who reported voiding dysfunction prior to intervention, 61 % (20/33) reported being at least somewhat bothered by these symptoms.
Conclusions
About 50 % of women with mesh complications in this study underwent surgical management as treatment, and <10 % required a second surgery. Most patients with pain preintervention reported significant improvement after treatment; however, almost a third reported worsening pain or no change after surgical management. Less than half of patients with voiding dysfunction improved after intervention.</description><subject>Equipment Failure</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multicenter Studies as Topic</subject><subject>Original Article</subject><subject>Pelvic Floor - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - therapy</subject><subject>Retrospective Studies</subject><subject>Surgical Mesh - adverse effects</subject><subject>Treatment Outcome</subject><subject>Urology</subject><subject>Vagina</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LxDAQhoMo7rr6A7xIwYuX6iTTNslNWfyChb3oOaRtunZpm5q0iv_eLFURwdMwk2feDA8hpxQuKQC_8gBUshgoxowJFss9MqcJYozAcJ_MQSKPMcnYjBx5vwWABFI4JDOWIBVplszJ9XocCtsaH1W2aex73W2iwRk9tKYbwsxFvWne6iKqGhuaAL5Ege-butBDbTt_TA4q3Xhz8lUX5Pnu9mn5EK_W94_Lm1VcIGdDnCaZ1nkhDadlXiEmUmAqQ81MuJVnQuSyZLRgyDKTCF3pqoQUUTKNQvASF-Riyu2dfR2NH1Rb-8I0je6MHb2iKRNCIE9FQM__oFs7ui5ct6O4ROApBIpOVOGs985Uqnd1q92HoqB2etWkVwW9aqdXybBz9pU85q0pfza-fQaATYAPT93GuF9f_5v6Cc9gg6A</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Unger, C. A.</creator><creator>Abbott, S.</creator><creator>Evans, J. M.</creator><creator>Jallad, K.</creator><creator>Mishra, K.</creator><creator>Karram, M. M.</creator><creator>Iglesia, C. B.</creator><creator>Rardin, C. R.</creator><creator>Barber, M. D.</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>Outcomes following treatment for pelvic floor mesh complications</title><author>Unger, C. A. ; Abbott, S. ; Evans, J. M. ; Jallad, K. ; Mishra, K. ; Karram, M. M. ; Iglesia, C. B. ; Rardin, C. R. ; Barber, M. D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-546aabc9e71dbf334983593346e0237688b9d21c2326e48afafd053392a3887d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Equipment Failure</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multicenter Studies as Topic</topic><topic>Original Article</topic><topic>Pelvic Floor - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - therapy</topic><topic>Retrospective Studies</topic><topic>Surgical Mesh - adverse effects</topic><topic>Treatment Outcome</topic><topic>Urology</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Unger, C. A.</creatorcontrib><creatorcontrib>Abbott, S.</creatorcontrib><creatorcontrib>Evans, J. M.</creatorcontrib><creatorcontrib>Jallad, K.</creatorcontrib><creatorcontrib>Mishra, K.</creatorcontrib><creatorcontrib>Karram, M. M.</creatorcontrib><creatorcontrib>Iglesia, C. B.</creatorcontrib><creatorcontrib>Rardin, C. R.</creatorcontrib><creatorcontrib>Barber, M. D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Unger, C. A.</au><au>Abbott, S.</au><au>Evans, J. M.</au><au>Jallad, K.</au><au>Mishra, K.</au><au>Karram, M. M.</au><au>Iglesia, C. B.</au><au>Rardin, C. R.</au><au>Barber, M. D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes following treatment for pelvic floor mesh complications</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>25</volume><issue>6</issue><spage>745</spage><epage>749</epage><pages>745-749</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications.
Methods
This study was a follow-up to a multicenter, retrospective study of women who presented to four tertiary referral centers for management of vaginal-mesh-related complications. Study participants completed a one-time follow-up survey regarding any additional treatment, current symptoms, and degree of improvement from initial presentation.
Results
Two hundred and sixty women received surveys; we had a response rate of 41.1 % (107/260). Complete data were available for 101 respondents. Survey respondents were more likely to be postmenopausal (
p
= 0.006), but otherwise did not differ from nonrespondents. Fifty-one percent (52/101) of women underwent surgery as the primary intervention for their mesh complication; 8 % (4/52) underwent a second surgery; 34 % (17/52) required a second nonsurgical intervention. Three patients required three or more surgeries. Of the 30 % (30/101) of respondents who reported pelvic pain prior to intervention, 63 % (19/30) reported improvement, 30 % (9/30) were worse, and 7 % (2/30) reported no change. Of the 33 % (33/101) who reported voiding dysfunction prior to intervention, 61 % (20/33) reported being at least somewhat bothered by these symptoms.
Conclusions
About 50 % of women with mesh complications in this study underwent surgical management as treatment, and <10 % required a second surgery. Most patients with pain preintervention reported significant improvement after treatment; however, almost a third reported worsening pain or no change after surgical management. Less than half of patients with voiding dysfunction improved after intervention.</abstract><cop>London</cop><pub>Springer London</pub><pmid>24318564</pmid><doi>10.1007/s00192-013-2282-9</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Equipment Failure Female Follow-Up Studies Gynecology Humans Medicine Medicine & Public Health Multicenter Studies as Topic Original Article Pelvic Floor - surgery Postoperative Complications - etiology Postoperative Complications - therapy Retrospective Studies Surgical Mesh - adverse effects Treatment Outcome Urology Vagina |
| title | Outcomes following treatment for pelvic floor mesh complications |
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