UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Management of mesh complications following surgery for stress urinary incontinence or pelvic organ prolapse: a systematic review

Carter, P; Fou, L; Whiter, F; Delgado Nunes, V; Hasler, E; Austin, C; Macbeth, F; ... Kearney, R; + view all (2020) Management of mesh complications following surgery for stress urinary incontinence or pelvic organ prolapse: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology , 127 (1) pp. 28-35. 10.1111/1471-0528.15958.

[img] Text
mesh paper_accepted.pdf - Accepted version
Access restricted to UCL open access staff until 2 November 2020.

Download (297kB)

Abstract

Background: Mesh surgery for stress urinary incontinence or pelvic organ prolapse can result in complications such as mesh exposure, mesh extrusion, voiding dysfunction, dyspareunia, and pain. There is limited knowledge or guidance on the effective management for mesh‐related complications. Objective: To determine the best management of mesh complications; a systematic review was conducted as part of the national clinical guideline ‘Urinary incontinence (update) and pelvic organ prolapse in women: management’. Search strategy: Search strategies were developed for each indication for referral. Selection criteria: Relevant interventions included complete or partial mesh removal, mesh division, and non‐surgical treatments such as vaginal estrogen. Data collection and analysis: Characteristics and outcome data were extracted, and as a result of the heterogeneous nature of the data a narrative synthesis was conducted. Main results: Twenty‐four studies were included; five provided comparative data and four studies stated the indication for referral. Reported outcomes (including pain, dyspareunia, satisfaction, quality of life, incontinence, mesh exposure, and recurrence) and the reported incidences of these varied widely. Conclusions: The current evidence base is limited in quantity and quality and does not permit firm recommendations to be made on the most effective management for mesh‐related complications. Robust data are needed so that mesh complications can be managed effectively in the future.

Type: Article
Title: Management of mesh complications following surgery for stress urinary incontinence or pelvic organ prolapse: a systematic review
DOI: 10.1111/1471-0528.15958
Publisher version: https://doi.org/10.1111/1471-0528.15958
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10082166
Downloads since deposit
1Download
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item