Complications of mesh application in the surgical treatment of pelvic organ prolapse


Pelviperineology 2012;31(4):119-122

Mesh application has recently become popular worldwide. Despite considerable success in pelvic organ prolapse surgery, there is an increasing concern regarding mesh use. Although mesh use-related complications are minor and manageable during and after intervention in most cases, some of complications that seldom occur, such as bladder, bowel, and vascular injuries, may threaten life. According to International Continence Society and International Urogynecology Association, complications related to mesh application can be broadly classified as 1) vaginal complications (prominence-contraction, exposure-extrusion, and pain), 2) urinary tract complications (bladder perforation, urinary retention, de novo stress urinary incontinence, detrusor over activity, and vesicovaginal and urethrovaginal fistulas), 3) rectum or bowel complications (rectal or bowel injury, abscess and rectovaginal fistula), 4) skin and/or musculoskeletal complications, 5) patient compromise, and 6) infectious complications. This review describes underlying causes of mesh complications and their management.

Keywords: Pelvic Organ Prolapse; Mesh application; Complication Management.