Management of Mesh Complications after SUI and POP Repair: Review and Analysis of the Current Literature

PURPOSE To evaluate the surgical treatment concepts for the complications related to the implantation of mesh material for urogynecological indications. MATERIALS AND METHODS A review of the current literature on PubMed was performed. RESULTS Only retrospective studies were detected. The rate of mesh-related complications is about 15-25% and mesh erosion is up to 10% for POP and SUI repair. Mesh explantation is necessary in about 1-2% of patients due to complications. The initial approach appears to be an early surgical treatment with partial or complete mesh resection. Vaginal and endoscopic access for mesh resection is favored. Prior to recurrent surgeries, a careful examination and planning for the operation strategy are crucial. CONCLUSIONS The data on the management of mesh complication is scarce. Revisions should be performed by an experienced surgeon and a proper follow-up with prospective documentation is essential for a good outcome.