Outcomes after laparoscopic removal of retropubic midurethral slings for chronic pain

International Urogynecology Journal
Elizabeth J GoodallNatalia Price

Abstract

Midurethral slings (MUS) are an established treatment for stress urinary incontinence (SUI), with good objective outcomes and low rates of complications. However, large population-based registry studies highlighted long-term complications from polypropylene slings including erosion, dyspareunia and chronic pain. With recent highly negative media coverage, many women are presenting with chronic pain attributed to the mesh to request complete removal. The available literature provides limited evidence on safety, symptom resolution and incontinence following MUS removal. We identified all patients who underwent laparoscopic removal of MUS mesh at our hospital between 2011 and 2016. We extracted data from medical records to assess operative safety and contacted all patients by questionnaire that incorporated pain scales, symptom severity and satisfaction. A total of 56 women were assessed. Removal occurred at a median of 44 months following sling insertion (range 3-192). Mean operative time was 74 min (range 44-132). Two patients were returned to theatre (one at 24 hours and one at 14 days) to evacuate a retropubic haematoma, but no visceral injuries occurred. The median inpatient stay was 2 days (range 1-7). Of the 46% of patients...Continue Reading

References

Oct 31, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·U UlmstenI Olsson
Jan 10, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Loïc BoulangerMichel Cosson
Nov 26, 2009·International Urogynecology Journal·Naama Marcus-Braun, Peter von Theobald
Oct 7, 2011·International Urogynecology Journal·Jennifer M WuAlison C Weidner
Oct 27, 2012·American Journal of Obstetrics and Gynecology·Michele Jonsson FunkJennifer M Wu
Nov 20, 2012·American Journal of Obstetrics and Gynecology·Michele Jonsson FunkJennifer M Wu
Apr 9, 2013·Clinical Obstetrics and Gynecology·Matthew D Barber
Mar 13, 2014·International Urogynecology Journal·Pamela MoalliCharles W Nager
Mar 1, 2015·American Journal of Obstetrics and Gynecology·Nir HayaChristopher F Maher
Dec 30, 2015·International Urogynecology Journal·Kaisa KurkijärviJuha Mäkinen
Apr 5, 2016·International Urogynecology Journal·Georgina BainesNatalia Price
Apr 21, 2016·American Journal of Obstetrics and Gynecology·Alexis L NolfiPamela A Moalli
Oct 27, 2016·Female Pelvic Medicine & Reconstructive Surgery·Dani ZoorobJames Whiteside
Dec 31, 2016·American Journal of Obstetrics and Gynecology·Bilal ChughtaiJ Quentin Clemens
May 10, 2017·The Journal of Urology·Bilal ChughtaiJennifer T Anger
Oct 4, 2017·Human Pathology·Li LiWenxin Zheng

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Citations

Feb 19, 2019·Climacteric : the Journal of the International Menopause Society·A-M Itkonen FreitasM Mentula
Feb 28, 2020·International Urogynecology Journal·Aditi SiddharthNatalia Price
Feb 21, 2019·International Urogynecology Journal·Emily Claire CarterNatalia Price
Sep 28, 2020·BJU International·Simon MortonChristopher Harding
Apr 7, 2021·International Urogynecology Journal·Maximilien BaronMarie-Aimée Perrouin-Verbe
Nov 20, 2020·Female Pelvic Medicine & Reconstructive Surgery·Jorge L FuentesPhilippe E Zimmern
Jun 12, 2021·International Urogynecology Journal·Libor ZamecnikJaromir Masata

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