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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2022, Cilt 36, Sayı 2, Sayfa(lar) 130-135
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Vaginal Mesh Complications After Transobturator Tape Applicatıon: 10 Years of Clinical Experience
1Fırat Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Elazığ, TÜRKİYE
2Sağlık Bilimleri Üniversitesi, Fethi Sekin Şehir Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği Elazığ, TÜRKİYE
Keywords: Mesh, stress incontinence, pain, erosion

Objective: In this study, we aimed to retrospectively evaluate the demographic characteristics and surgical results of patients who had mesh removal after operation in our clinic in the last 10 years.

Materials and Methods: The data of 10 patients who had a history of TOT operation and underwent mesh excision between 2012 and 2021 were evaluated retrospectively. Physical examination findings of these patients, urea, creatinine, complete urinalysis and urine culture values, age, presence of chronic disease, and continuous drug use were recorded. Data such as operation time, total and partial removal of mesh, development of intra and postoperative complications, and average hospital stay were also noted.

Results: The mean follow-up period of the 10 patients included in the study was found to be 32.6 months. Two of our patients (20%) who had mesh removal had vaginal exposure of the mesh that can be observed on physical examination, along withexisting complaints, while significant inguinal pain and vaginal tenderness were detected in four patients (40%). While the main complaints in premenopausal women were dyspareunia and groin pain, the complaints in postmenopausal women were usually recurrent urinary infection and vaginal pain. Since TOT operation was not successful in 8 (80%) of the patients, Stress Urinary Incontinence (SUI) continued, and this situation continued at the same rate after mesh excision.

Conclusion: In case of complete or partial excision of the mesh, patients should be warned of the potential complications of excision and the increased risk of recurrent SUI and pelvic organ prolapse after surgery. It should be informed that mesh-related pelvic pain is multifactorial in nature and can be very difficult to treat, and that mesh removal may not completely alleviate symptoms.

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