Original Article

Outcomes of surgically treated mesh erosions secondary to mid-urethral sling surgery

  • AHMET AKIN SIVASLIOGLU
  • ASLIHAN ALP OZTURK
  • DILEK UYSAL
  • ÇETIN AYDIN

Pelviperineology 2016;35(1):7-9

Objective:

Mesh erosion is a bothersome complication of mid urethral sling surgery and the aim of this study is to scrutinize the risk factors and results of mesh erosion surgery.

Materials and methods:

This retrospective study evaluates the patients who have had partial removal of mono-filament polypropylene tape due to the mesh erosion between the dates of July 2012 to July 2015. The data were analyzed with the SPSS package programme.

Results:

The total number of the cases who have had partial removal due to mesh erosion was 28. The majority of cases had had transobturator tape surgery (89.3%). The mean of the time from index mid urethral sling surgery to mesh erosion surgery was 31.2 (24.8) months. The most common presenting symptom was stress urinary incontinence (SUI). The mean of follow up period after the mesh erosion surgery was 14.5 (8.8) months. The number of incontinent and continent patients before the mesh erosion surgery was 10 and 18, respectively. The number of the incontinent patients after surgery increased to 12 patients and the rest of the study population (16) have remained continent.

Conclusion:

Mesh erosion could be seen as late as 102 months after the index operation. Partial removal of mesh is easy and usually does not have a considerable negative impact on continence. Follow ups are essential for patients who have had mid urethral sling surgery.

Keywords: Mesh erosion; Partial mesh removal; Stress urinary incontinence.