The Role of Vaginal Mesh Procedures in Pelvic Organ Prolapse Surgery in View of Complication Risk
Open Access
- 1 January 2013
- journal article
- review article
- Published by Hindawi Limited in Obstetrics and Gynecology International
- Vol. 2013, 1-7
- https://doi.org/10.1155/2013/356960
Abstract
Synthetic transvaginal mesh has been employed in the treatment of pelvic organ prolapse for more than a decade. As the use of these devices increased during this period so did adverse event reporting. In 2008, the Food and Drug Administration (FDA) Public Health Notification informed physicians and patients of rising concerns with the use of synthetic transvaginal mesh. Shortly thereafter and in parallel to marked increases in adverse event reporting within the Manufacturer and User Device Experience (MAUDE), the FDA released a Safety Communication regarding urogynecologic surgical mesh use. Following this report and in the wake of increased medical industry product withdrawal, growing medicolegal concerns, patient safety, and clinical practice controversy, many gynecologists and pelvic reconstructive surgeons are left with limited long-term data, clinical guidance, and growing uncertainty regarding the role of synthetic transvaginal mesh use in pelvic organ prolapse. This paper reviews the reported complications of synthetic transvaginal mesh with an evidence-based approach as well as providing suggested guidance for the future role of its use amidst the controversy.Keywords
Funding Information
- National Institute of Diabetes and Digestive and Kidney Diseases (2K24-DK068389)
This publication has 31 references indexed in Scilit:
- Purely Transvaginal/Perineal Management of Complications From Commercial Prolapse Kits Using a New Prostheses/Grafts Complication Classification SystemJournal of Urology, 2012
- Selection of patients in whom vaginal graft use may be appropriateInternational Urogynecology Journal, 2012
- Perioperative Complications and Reoperations After Incontinence and Prolapse Surgeries Using Prosthetic ImplantsObstetrics & Gynecology, 2012
- Lifetime Risk of Undergoing Surgery for Pelvic Organ ProlapseObstetrics & Gynecology, 2010
- Surgical management of pelvic organ prolapse in womenPublished by Wiley ,2010
- New Considerations in the Use of Vaginal Mesh for Prolapse RepairJournal of Minimally Invasive Gynecology, 2009
- Safety of Trans Vaginal Mesh procedure: Retrospective study of 684 patientsJournal of Obstetrics and Gynaecology Research, 2008
- Sexual function in women before and after transvaginal mesh repair for pelvic organ prolapseInternational Urogynecology Journal, 2007
- Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of lifeAmerican Journal of Obstetrics and Gynecology, 2006
- Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinenceAmerican Journal of Obstetrics and Gynecology, 2000