E-Posters-10105

10105_Schroeder
Pdf Summary
Vaginal mesh is used to repair pelvic organ prolapse and stress urinary incontinence, but it can lead to complications such as mesh exposure, erosion, dyspareunia, and pain. The removal of vaginal mesh has become a more common procedure due to the morbidity associated with it. Some studies suggest that patients experience improvements in pain after mesh removal, but there may be more complications when removing mesh from multiple compartments in one procedure. <br /><br />This study aimed to compare subjective pain outcomes in patients who underwent mesh removal in single and multiple compartments. The study also assessed differences in surgical morbidity (estimated blood loss and operative time) between the two groups and evaluated the need for further management after mesh removal.<br /><br />The study involved a retrospective chart review of patients who underwent mesh removal at the University of South Florida. Patient data were collected through medical questionnaires, which included information on pain improvement, medical co-morbidities, estimated blood loss, operative time, and the need for pelvic floor physical therapy. <br /><br />The results of the study showed that removing vaginal mesh can improve pain, although there was no significant difference between single and multiple compartment removal. However, multi-compartment removal was associated with higher estimated blood loss and longer operative time. It was also found that many patients required conservative therapy with pelvic floor physical therapy or more aggressive therapy with reoperation to improve their symptoms.<br /><br />In conclusion, this study supports previous research suggesting that removing vaginal mesh can lead to improvements in pain. However, the study also highlights the potential complications associated with multi-compartment removal and the need for additional therapy to relieve symptoms.
Keywords
vaginal mesh
pelvic organ prolapse
stress urinary incontinence
mesh exposure
mesh erosion
dyspareunia
pain
mesh removal
surgical morbidity
pelvic floor physical therapy