Beyond the complications: medium-term anatomical, sexual and functional outcomes following removal of trocar-guided transvaginal mesh. A retrospective cohort study
International Urogynecology Journal,

Jeffery ST et al. – There were no symptoms relating to prolapse in any of the women at 6 weeks, 6, 12 or 24 months. Authors report satisfactory outcomes following removal of a complicated TVM kit.

Methods
  • This was a retrospective analysis of a clinical database of women who had developed a complication following a TVM procedure.
  • This included dyspareunia, mesh erosion, urinary symptoms, mesh contraction and prolapse recurrence.
  • Pre– and post–operatively, we assessed the women for prolapse, stress incontinence, urgency, defecatory difficulty, digitation, pain, dyspareunia and apareunia.
  • They also recorded the Pelvic Organ Prolapse Quantification (POP–Q) score.
  • The TVM was removed and a Biodesign graft was used in the majority of cases to prevent further prolapse.
  • Follow–up was at 6 weeks, 6 months, 1 and 2 years.

Results
  • In the cohort of 21 women, 18 required surgery for pain and/or dyspareunia; 20 women had reached the 6–week follow–up at the time of analysis.
  • At 6 weeks, two women still had pain and required a second intervention.
  • Fifteen women had reached a 6–month follow–up and only one woman had persistent pain requiring repeat surgery.
  • Of the 15 women, 7 were sexually active and in 6 cases the dyspareunia had resolved completely with 1 woman retaining an element of pain at intercourse.
  • Six women had been seen at 12 months and all four of the sexually active women had no dyspareunia.
  • There were no symptoms relating to prolapse in any of the women at 6 weeks, 6, 12 or 24 months.

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Anesthesiology

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Anesthesiology Articles

1 Forearm bier block: a new regional anesthetic technique for upper extremity surgery Annals of Plastic Surgery, August 8, 2014    Review Article

2 Cognitive recovery after ambulatory anaesthesia based on desflurane or propofol: A prospective randomised study Acta Anaesthesiologica Scandinavica, August 11, 2014    Clinical Article

3 Efficacy of ketamine as an adjunct to lidocaine in intravenous regional anesthesia Regional Anesthesia and Pain Medicine, August 26, 2014    Clinical Article

4 Is continuous adductor canal block better than continuous femoral nerve block after total knee arthroplasty?: Effect on ambulation ability, early functional recovery and pain control: A randomized controlled trial Journal of Arthroplasty, July 8, 2014    Clinical Article

5 Laparoscopic cholecystectomy under spinal anesthesia: Comparative study between conventional-dose and low-dose hyperbaric bupivacaine Full Text Local and Regional Anesthesia, August 6, 2014    Free full text    Clinical Article

6 Supraglottic airway devices vs tracheal intubation in children: A quantitative meta-analysis of respiratory complications Paediatric Anaesthesia, August 5, 2014    Evidence Based Medicine

7 The intubation scoop (i-scoop) - A new type of laryngoscope for difficult and normal airways Anaesthesia, June 12, 2014    Clinical Article

8 Nasal high-flow versus Venturi mask oxygen therapy after extubation: Effects on oxygenation, comfort, and clinical outcome American Journal of Respiratory and Critical Care Medicine, August 18, 2014    Clinical Article

9 A modified technique to improve the outcome of intubation with a left-sided double-lumen endobronchial tube Full Text BMC Anesthesiology, August 22, 2014    Free full text    Clinical Article

10 The efficacy of lidocaine to prevent laryngospasm in children: A systematic review and meta-analysis Anaesthesia, July 16, 2014    Evidence Based Medicine

11 Serious adverse events associated with vasopressin and norepinephrine infusion in septic shock Critical Care Medicine, July 23, 2014    Clinical Article

12 Palonosetron and aprepitant for the prevention of postoperative nausea and vomiting in patients indicated for laparoscopic gynaecologic surgery: A double-blind randomised trial Full Text BMC Anesthesiology, August 13, 2014    Free full text    Clinical Article

13 Impact of malnutrition on propofol consumption and recovery time among patients undergoing laparoscopic gastrointestinal surgery Acta Anaesthesiologica Scandinavica, August 4, 2014    Clinical Article

14 Randomized trial of fish oil infusion to prevent atrial fibrillation after cardiac surgery: Data from an implantable continuous cardiac monitor Journal of Cardiothoracic and Vascular Anesthesia, August 1, 2014    Clinical Article

15 A nomogram for calculating the maximum dose of local anaesthetic Anaesthesia, May 13, 2014    Clinical Article

16 Role of nitrous oxide in ambulatory anaesthesia Current Anesthesiology Reports, August 4, 2014    Clinical Article

17 Central venous saturation in septic shock: Co-oximetry vs. gasometry The American Journal of Emergency Medicine, August 14, 2014    Clinical Article

18 A prospective randomised controlled trial comparing tracheal intubation plus manual in-line stabilisation of the cervical spine using the Macintosh laryngoscope vs the McGrath Series 5 videolaryngoscope Anaesthesia, August 7, 2014    Clinical Article

19 Impact of intraoperative fluid administration on outcome in patients undergoing robotic-assisted laparoscopic prostatectomy - A retrospective analysis Full Text BMC Anesthesiology, August 4, 2014    Free full text    Clinical Article

20 Extubation force depends upon angle of force application and fixation technique: A study of 7 methods Full Text BMC Anesthesiology, August 28, 2014    Free full text    Clinical Article

Indexed Journals in Anesthesiology: Anaesthesia, Anesthesia & Analgesia, Current Anaesthesia and Critical Caremore

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Connect with us, stay current.

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More

Close