An international urogynecological association (IUGA)/international continence society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery
Abstract
Introduction and hypothesis: A terminology and standardized classification has yet to be developed for those complications arising directly from the insertion of synthetic (prostheses) and biological (grafts) materials in female pelvic floor surgery. Methods: This report on the above terminology and classification combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS) and a Joint IUGA/ICS Working Group on Complications Terminology, assisted at intervals by many expert external referees. An extensive process of 11 rounds of internal and external review took place with exhaustive examination of each aspect of the terminology and classification. Decision‐making was by collective opinion (consensus). Results: A terminology and classification of complications related directly to the insertion of prostheses and grafts in female pelvic floor surgery has been developed, with the classification based on category (C), time (T) and site (S) classes and divisions, that should encompass all conceivable scenarios for describing insertion complications and healing abnormalities. The CTS code for each complication, involving three (or four) letters and three numerals, is likely to be very suitable for any surgical audit or registry, particularly one that is procedure‐specific. Users of the classification have been assisted by case examples, colour charts and online aids (www.icsoffice.org/complication). Conclusion: A consensus‐based terminology and classification report for prosthesis and grafts complications in female pelvic floor surgery has been produced, aimed at being a significant aid to clinical practice and research. Neurourol. Urodynam. 30:2–12, 2011. © 2010 Wiley‐Liss
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Mesh exposure was defined according to the International Urogynecological Association/International Continence Society joint classification system.
“Mesh exposure was defined as “vaginal mesh visualized through separated vaginal epithelium” according to the International Urogynecological Association/International Continence Society joint classification system [15].”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [15]
The citation lists haven’t been fetched yet
References 14 · Cited by 443
- Authors
- Haylen, B. T., Freeman, R. M., Swift, S. E., Cosson, M., Davila, G. W., Deprest, J., Dwyer, P. L., Fatton, B., Kocjancic, E., Lee, J., Maher, C., Petri, E., Rizk, D. E., Sand, P. K., Schaer, G. N., & Webb, R.
- Affiliations
- UNSW Sydney (AU)
- Derriford Hospital (GB)
- Medical University of South Carolina (US)
- Centre Hospitalier Universitaire de Lille (FR)
- Cleveland Clinic Florida (US)
- Universitair Ziekenhuis Leuven (BE)
- Mercy Hospital for Women (AU)
- Centre Hospitalier Universitaire de Clermont-Ferrand (FR)
- University of Illinois Chicago (US)
- Monash Health (AU)
- Universität Greifswald (DE)
- Ain Shams University (EG)
- Kantonsspital Aarau (CH)
- Norfolk and Norwich University Hospital (GB)
- Corresponding author
- Haylen, Bernard T.
- ORCID
- Venue
- Neurourology and Urodynamics
- Publisher
- Wiley
- Published
- 2010-12-22
- Volume
- 30
- Issue
- 1
- Pages
- 2-12
- ISSN
- 0733-2467 (ISSN-L)
- 1520-6777
- OpenAlex
- W1967157433
- Cited by
- 443
- References
- 14
- Citations by year
- 2026: 12 · 2025: 20 · 2024: 30 · 2023: 20 · 2022: 25 · 2021: 29 · 2020: 27 · 2019: 37 · 2018: 30 · 2017: 27 · 2016: 40 · 2015: 30 · 2014: 30 · 2013: 32 · 2012: 39
- FWCI
- 19.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurourology and Urodynamics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Obstetrics and Gynecology › Ureteral procedures and complications
- Keywords
- female pelvic floor surgery, surgical complications, mesh complications, surgical implants, graft, complication classification, surgical registry, surgical audit, continence surgery, urogynecology
- MeSH terms
- Adult, Female, Humans, Middle Aged, Terminology as Topic, Postoperative Complications, Urogenital Surgical Procedures, Surgical Mesh, Pelvic Floor, Prostheses and Implants, Transplants, Suburethral Slings
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
