The management of vaginal prolapse and stress incontinence mesh complications in a quaternary mesh complications service in the UK: A 5-year observational study

The management of vaginal prolapse and stress incontinence mesh complications in a quaternary mesh complications service in the UK: A 5-year observational study | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 26 February 2025 V1 Latest version Share on The management of vaginal prolapse and stress incontinence mesh complications in a quaternary mesh complications service in the UK: A 5-year observational study Authors : Hawra Badri 0000-0003-0136-7683 [email protected] , Azita Rajai , Karen Ward 0000-0002-8626-4810 , Richard Edmondson 0000-0003-2553-4423 , and Fiona Reid Authors Info & Affiliations https://doi.org/10.22541/au.174059642.28376780/v1 268 views 107 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective To describe the patient cohort accessing a quaternary pelvic mesh referral service, identify their requirements and ensure services can meet their needs. To determine areas of future research. Design Retrospective and prospective observational study. Setting Quaternary pelvic mesh complications service in the U.K Population Women accessing a pelvic mesh complications service over 5 years. Methods All women attending the mesh complication service between 2018 and 2023 were included. Data was collected on referral rates, demographics, mesh complications experienced, management options selected, and post operative complications suffered. Mesh complications were compared against mesh devices and management options chosen. Results 785 women were managed in the mesh service over 5 years. Of 765 women with confirmed mesh devices, 92% (n=707/765) were referred with a painful mesh complication and 54% (n=416/765) reported pain alone. Fifty eight percent requested surgical management (n=403/692). Of 288 who received surgery, 52% (n=150/288) requested complete mesh excision. The recurrent Stress Urinary Incontinence (SUI) and Pelvic Organ Prolapse (POP) rate was 66% (n=141/215) and 23% (3/13) respectively. Eighteen percent (n=51/288) experienced a surgical complication however only 0.7% (2/288) were considered serious . Conclusions This study has identified patients reporting ‘pain alone’ as the commonest patient cohort attending a UK pelvic mesh centre between 2018 and-2023, suggesting that mesh associated pain exerts considerable burden on affected individuals and maybe more prevalent than once thought. This group has the greatest variation in treatment. Further research is required to understand the pathophysiology of mesh related pain to inform effective treatment options. Supplementary Material File (mesh paper 1 bjog final.docx) Download 201.02 KB Information & Authors Information Version history V1 Version 1 26 February 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords genitourinary medicine gynaecological surgery: urogynaecological pelvic pain urogynaecology urogynaecology: surgical treatment Authors Affiliations Hawra Badri 0000-0003-0136-7683 [email protected] Manchester University NHS Foundation Trust View all articles by this author Azita Rajai Manchester University NHS Foundation Trust View all articles by this author Karen Ward 0000-0002-8626-4810 Manchester University NHS Foundation Trust View all articles by this author Richard Edmondson 0000-0003-2553-4423 Manchester University NHS Foundation Trust View all articles by this author Fiona Reid Manchester University NHS Foundation Trust View all articles by this author Metrics & Citations Metrics Article Usage 268 views 107 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Hawra Badri, Azita Rajai, Karen Ward, et al. The management of vaginal prolapse and stress incontinence mesh complications in a quaternary mesh complications service in the UK: A 5-year observational study. Authorea . 26 February 2025. DOI: https://doi.org/10.22541/au.174059642.28376780/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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