Document Detail


Persistent pelvic pain following transvaginal mesh surgery: a cause for mesh removal.
MedLine Citation:
PMID:  22464208     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: Persistent pelvic pain after vaginal mesh surgery is an uncommon but serious complication that greatly affects women's quality of life. Our aim was to evaluate various procedures for mesh removal performed at a tertiary referral center in cases of persistent pelvic pain, and to evaluate the ensuing complications and outcomes. STUDY DESIGN: A retrospective study was conducted at the University Hospital of Caen, France, including all patients treated for removal or section of vaginal mesh due to pelvic pain as a primary cause, between January 2004 and September 2009. RESULTS: Ten patients met the inclusion criteria. Patients were diagnosed between 10months and 3years after their primary operation. Eight cases followed suburethral sling procedures and two followed mesh surgery for pelvic organ prolapse. Patients presented with obturator neuralgia (6), pudendal neuralgia (2), dyspareunia (1), and non-specific pain (1). The surgical treatment to release the mesh included: three cases of extra-peritoneal laparoscopy, four cases of complete vaginal mesh removal, one case of partial mesh removal and two cases of section of the suburethral sling. In all patients with obturator neuralgia, symptoms were resolved or improved, whereas in both cases of pudendal neuralgia the symptoms continued. There were no intra-operative complications. Post-operative Retzius hematoma was observed in one patient after laparoscopy. CONCLUSIONS: Mesh removal in a tertiary center is a safe procedure, necessary in some cases of persistent pelvic pain. Obturator neuralgia seems to be easier to treat than pudendal neuralgia. Early diagnosis is the key to success in prevention of chronic disease.
Authors:
Naama Marcus-Braun; Antoine Bourret; Peter von Theobald
Related Documents :
22458748 - Misdiagnosis of aortic dissection: experience of 361 patients.
22398828 - Diagnosis of interstitial cystitis/bladder pain syndrome in women with chronic pelvic p...
22475878 - Pain assessment in charcot-marie-tooth (cmt) disease.
22365098 - Low back pain post partum - a case report.
6932068 - Somatosensory evoked potentials and noxious stimulation in patients with intractable, n...
16061458 - Rotation to methadone after opioid dose escalation: how should individualization of dos...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-29
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  -     ISSN:  1872-7654     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-4-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, Ziv Medical Center, Bar-Ilan Health Faculty, Safed, Israel.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Polycystic ovary syndrome and diabetes screening: a survey of gynecologists and reproductive endocri...
Next Document:  Injection of embryo culture supernatant to the endometrial cavity does not affect outcomes in IVF/IC...