Abstract
The objective of the study was to describe the presentation of vaginal mesh erosions following Mersilene® suburethral slings for urinary incontinence. We performed a retrospective review of all Mersilene® suburethral slings placed at a tertiary referral center from 1996 to 2007. A total of 772 women underwent placement of a Mersilene® suburethral sling. We identified 62 women that underwent surgical revision due to mesh erosion for an overall erosion rate of 8%. The most common presenting symptom was vaginal discharge reported in 37% of women. Other symptoms included vaginal bleeding in 31%, pain or dyspareunia in 13%, and voiding dysfunction in 21% of women. Seven women were found to have the mesh in the bladder on cystoscopy. Cellulitis complicated 8.3% of erosions. Patients with erosions of Mersilene® mesh slings commonly complain of vaginal bleeding and discharge and may present up to 20 years after the surgery.
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References
Hohenfellner R, Petrie E (1986) Sling procedures. In: Stanton SL, Tanagho E (eds) Surgery of Female Incontinence, 2nd edn. Springer, Berlin, pp 105–113
Tizzano A (2007) Historical milestones in female pelvic surgery, gynecology, and female urology. In: Walters MD, Karram MM (eds) Urogynecology and Reconstructive Pelvic Surgery ed 3. Mosby: 4–12
Ridley JH (1955) Surgical treatment of stress urinary incontinence in women. J Med Assoc Georgia 44:135
Williams TJ, TeLinde RW (1962) The sling operation for urinary incontinence using mersilene ribbon. Obstet Gynecol 19(2):241–245
Young SB, Rosenblatt PL, Pingeton DM, Howard AE, Baker SP (1995) The Mersilene mesh suburethral sling: a clinical and urodynamic evaluation. Am J Obstet Gynecol 173(6):1719–1726
Moir JC (1968) The Gauze-Hammock operation. Br J Obstet Gynaecol 75(1):1–9
Nichols DH, Randall CL (1996) Choice of operation for urinary stress incontinence. In: Nichols DH, Randall CL (eds) Vaginal surgery, 4th edn. Williams & Wilkins, Baltimore, pp 384–421
Nichols DH (1973) The Mersilene mesh gauze-hammock for severe urinary stress incontinence. Obstet Gynecol 41(1):88–93
Persson J, Iosif C, Wolner-Hanssen P (2002) Risk factors for rejection of synthetic suburethral slings for stress urinary incontinence: a case–control study. Obstet Gynecol 99(4):629–634
Karram MM, Segal JL, Vassallo BJ, Kleeman SD (2003) Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol 101(5):929–932
Iglesia CB, Fenner DE, Brubaker L (1997) The use of mesh in gynecologic surgery. Int Urogynecol J Pelvic Floor Dysfunct 8(2):105–155
Visco AG, Weidner AC, Barber MD, Myers ER, Cundiff GW, Bump RC, Addison WA (2001) Vaginal mesh erosion after abdominal sacral colpopexy. Obstet Gynecol Surv 56(7):410–411
Timmons MC, Addison WA (1997) Mesh erosion after abdominal sacrocolpopexy. J Pelvic Surg 3:75–80
Young SB, Howard AD, Baker SP (2001) Mersilene mesh sling: short- and long-term clinical and urodynamic outcomes. Am J Obstet Gynecol 185(1):32–40
Myers DL, LaSala CA (1998) Conservative surgical management of Mersilene mesh suburethral sling erosion. Am J Obstet Gynecol 179(6):1424–1429
Care New England Health System Annual Report. Fiscal Year 2006.
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Website: Rhode Island Department of Health www.health.ri.gov/chic/statistics/BRFSS2004Summary_smk.pdf
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Wohlrab, K.J., Erekson, E.A. & Myers, D.L. Postoperative erosions of the Mersilene® suburethral sling mesh for antiincontinence surgery. Int Urogynecol J 20, 417–420 (2009). https://doi.org/10.1007/s00192-008-0787-4
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DOI: https://doi.org/10.1007/s00192-008-0787-4