Joint position statement on the management of mesh-related complications for the FPMRS specialist

Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Association

doi:10.1007/s00192-020-04248-x

Cited by 46Pelvic floor disorders treatmentsHernia repair and managementUterine Myomas and Treatments

Joint position statement on the management of mesh-related complications for the FPMRS specialist

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Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Association·2020·International Urogynecology Journal

DOI 10.1007/s00192-020-04248-x

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Abstract

The scientific approach to categorizing mesh complications and optimal methods to address them have been complicated by the rapid proliferation and evolution of materials and techniques that have been used over the past 20 years in surgical treatment of pelvic floor disorders. In addition, terminology used to diagnose and categorize mesh complications and the descriptions of surgical procedures to manage them have been adopted inconsistently, further hampering the development of a collective experience with a standardized lexicon. Finally, much of the high-quality data on management of mesh complications is based on materials that are rarely used or not commercially available today.Women experiencing mesh complications need to be heard and should have access to resources and providers who are most able to help. Many women require multiple procedures to address their mesh complications, and for some of these patients, relief is incomplete. We should strive to optimize the treatment at the initial diagnosis of a mesh-related complication.This Position Statement has 4 goals:1. Using the best and most relevant evidence available, provide guidance for the FPMRS subspecialist caring for patients who may be experiencing mesh complications2: Provide an algorithm outlining treatment choices for patients with mesh-related complications that can be used as a platform for shared decision making in the treatment of these complications3: Identify and prioritize gaps in evidence concerning specific mesh complications and their treatments4: Identify provider and health facility characteristics that may optimize the outcomes of treatments for these complications.

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Authors: Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Association
Affiliations: Brown University (US)
Corresponding author: Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Association
Venue: International Urogynecology Journal
Publisher: Springer Science and Business Media LLC
Published: 2020-02-28
Volume: 31
Issue: 4
Pages: 679-694
ISSN: 0937-3462 (ISSN-L)
1433-3023
DOI: 10.1007/s00192-020-04248-x
OpenAlex: W4205174264
Cited by: 46
References: 67
Citations by year: 2026: 6 · 2025: 7 · 2024: 10 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 7
FWCI: 4.14
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: International Urogynecology Journal (publishedVersion)
PubMed (publishedVersion)
Funders: Brown University
Topics: Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Surgery › Hernia repair and management
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Keywords: mesh complications, pelvic floor reconstruction, pelvic organ prolapse, pelvic floor dysfunction, mesh removal, shared decision-making, treatment algorithm, terminology standardization, patient-centered care
MeSH terms: Female, Humans, Postoperative Complications, Surgical Mesh, Pelvic Organ Prolapse

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