Removal or Revision of Vaginal Mesh Used for the Treatment of Stress Urinary Incontinence

JAMA Surgery
Blayne WelkJennifer Winick-Ng

Abstract

Synthetic mesh slings are the most common surgical treatment for female stress urinary incontinence (SUI). However, the US Food and Drug Administration has released warnings that question the safety of vaginal mesh. To measure the incidence of mesh removal or revision after SUI procedures and to determine whether significant surgeon and patient risk factors exist. Population-based retrospective cohort study that included all adult women undergoing an incident procedure for SUI with synthetic mesh in Ontario, Canada, from April 1, 2002, through December 31, 2012 (N = 59 887). The end of potential follow-up was March 31, 2013. Data were analyzed from November 1, 2014, through February 28, 2015. Yearly volume of mesh-based procedures for SUI performed by the treating surgeons and their surgical specialty. The primary outcome was a composite of surgical procedures related to removal or revision of mesh slings (owing to erosion, fistula, pain, or retention). We hypothesized a priori that surgeon volume would be inversely correlated with complications. Among the identified 59 887 women who underwent a mesh-based procedure for SUI, the median age was 52 (interquartile range [IQR], 45-63) years. High-volume surgeons (≥75th percentile o...Continue Reading

Citations

Feb 18, 2016·Obstetrics and Gynecology Clinics of North America·Pakeeza Alam, Cheryl B Iglesia
Jul 22, 2016·Current Urology Reports·Seth A Cohen, Howard B Goldman
Aug 18, 2016·International Urogynecology Journal·Marisa M Clifton, Howard B Goldman
Feb 6, 2017·Urology·Kai B DallasChristopher S Elliott
Mar 24, 2017·Obstetrics and Gynecology·Courtney S LimSawsan As-Sanie
Jun 29, 2017·Lower Urinary Tract Symptoms·Dominic LeePhilippe E Zimmern
Sep 5, 2018·The Journal of Bone and Joint Surgery. American Volume·Nahid PunjaniBlayne Welk
Jan 9, 2019·International Urogynecology Journal·Victoria KershawElaine Gouk
Sep 17, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·A A ClancyD Pascali
Oct 11, 2019·Obstetrics and Gynecology·Alexander A BergerShawn A Menefee
Jun 9, 2016·Current Opinion in Obstetrics & Gynecology·Lisa Rogo-Gupta, Mario Castellanos
Aug 10, 2020·Obstetrics and Gynecology·Erin A BrennandUNKNOWN Calgary Women's Pelvic Health Research Group
Sep 30, 2016·Current Urology Reports·Dominique R Malacarne, Victor W Nitti
Sep 20, 2018·International Urogynecology Journal·Elizabeth J GoodallNatalia Price
Aug 6, 2020·Therapeutic Advances in Urology·Paulina Bueno Garcia Reyes, Hashim Hashim
Nov 24, 2020·BJU International·Rebecca MathiesonJanelle Brennan
Sep 18, 2020·Female Pelvic Medicine & Reconstructive Surgery·Rui WangMonica Richardson
Apr 2, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Aisling Clancy
Apr 2, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Aisling Clancy
Mar 1, 2021·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Jens-Erik WalterUNKNOWN Canadian Society of Pelvic Medicine Mesh Complications Writing Group
Mar 25, 2021·International Urogynecology Journal·Harold BaxterEdward Weaver
Apr 7, 2021·International Urogynecology Journal·Bogdan ToiaTamsin J Greenwell
May 16, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·N HermieuJ F Hermieu
Dec 15, 2020·Female Pelvic Medicine & Reconstructive Surgery·C Emi BretschneiderKimberly Kenton
Aug 6, 2021·International Urogynecology Journal·T GrisalesL V Rodriguez

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