Abstract
It appears all women who had urinary tract perforation following mesh tape in the study underwent partial (rather than total) removal surgery, including the 8 women whose devices had been in place for less than 8 weeks. It would have been relatively easy to totally remove a device that had been recently implanted, before scar tissue is matured and removal becomes difficult.
Highlights
We read the paper from Dr Saidan and colleagues [1] with interest
Mesh removal surgery is a highly important and emerging field that requires sharing of the learning experiences from centres worldwide. It appears all women who had urinary tract perforation following mesh tape in the study underwent partial removal surgery, including the 8 women whose devices had been in place for less than 8 weeks
It is relatively easy to totally remove a device that had been recently implanted, before scar tissue is matures and removal becomes difficult. It is not clear whether separate groin incisions were employed during surgery to achieve total removal of the women’s transobturator mesh devices. Authors stated they had thought that three women had total removal of their prolapse mesh devices, one presented later with recurrent bladder erosion that required further excision surgery
Summary
*Corresponding author: Wael Agur, NHS Ayrshire & Arran, University Hospital Crosshouse, Kilmarnock KA2 0BE, United Kingdom, Tel: +44-(0)-1563-825-383, Fax: +44-(0)-1563-825-490 Mesh removal surgery is a highly important and emerging field that requires sharing of the learning experiences from centres worldwide. It appears all women who had urinary tract perforation following mesh tape in the study underwent partial (rather than total) removal surgery, including the 8 women whose devices had been in place for less than 8 weeks.
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