Journal of International Obstetrics and Gynecology ›› 2021, Vol. 48 ›› Issue (2): 219-223.doi: 10.12280/gjfckx.20200581

• Gynecological Disease & Related Research Review • Previous Articles     Next Articles

Advantages and Complications of Transvaginal Mesh Surgery

XIANG Xue-bing, HU Qing, XIA Zhi-jun()   

  1. Department of Obstetrics and Gynecology, Shengjing Hospital Affiliated to China Medical University, Shenyang 110001, China
  • Received:2020-07-06 Published:2021-04-15 Online:2021-04-16
  • Contact: XIA Zhi-jun E-mail:xiazj@sj-hospital.org

Abstract:

With the increasing aging of the society, pelvic organ prolapse (POP) has become a common disease of elderly women.Transvaginal mesh (TVM) surgery, as a kind of minimally invasive surgery through natural channel for the treatment of POP, with the advantages of anatomical reduction, functional recovery and long-term curative effect, is widely used in recent 20 years. However, it has been warned twice by the US Food and Drug Administration (FDA) for mesh-related complications. The International Urogynecological Association/International Continence Society (IUGA/ICS) classification of mesh-related complications includes:exposure and erosion, hematoma, bladder, urethral and bowel injury, infection, chronic pelvic pain, and de novo dyspareunia. Mesh exposure and erosion are most common complications. It is worth thinking about whether transvaginal mesh should be used or not in China.

Key words: Pelvic organ prolapse, Vagina, Recurrence, Postoperative complications, Mesh