Complications requiring reoperation following vaginal mesh kit procedures for prolapse

Rebecca U. Margulies*, Christina Lewicky-Gaupp, Dee E. Fenner, Edward J. McGuire, J. Quentin Clemens, John O L DeLancey

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

116 Scopus citations


Objective: The objective of the study was to the characterize the symptoms and management of vaginal mesh-related complications requiring operative intervention. Study Design: This was a case series of patients undergoing excision of vaginal graft material. Only women who had vaginal mesh placement for the correction of pelvic organ prolapse (POP) were included. We describe the symptoms, complications, and management of women treated surgically for vaginal mesh-related complications. Results: Thirteen referred women underwent surgery for vaginal mesh-related complications. All meshes were Apogee and/or Perigee. Ten had symptomatic mesh exposures, 1 had an exposure with pelvic abscess, and 2 had pain syndromes without mesh exposure. Patients also had rectovaginal fistula, vesicovaginal fistula, recurrent POP, and persistent discharge. Five women had prior surgery for this problem. All patients underwent transvaginal mesh excision and other indicated procedures at our institution, and 6 women required a second surgery at our institution, with a median of 2 surgeries per patient. Conclusion: Vaginal mesh placement for POP can be associated with pain, exposure, and fistula formation, requiring multiple operative interventions.

Original languageEnglish (US)
Pages (from-to)678.e1-678.e4
JournalAmerican journal of obstetrics and gynecology
Issue number6
StatePublished - Dec 2008


  • mesh complications
  • pelvic organ prolapse
  • surgical complications
  • vaginal mesh surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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