MP75-16 PATIENT QUALITY OF LIFE AFTER REMOVAL OF VAGINAL MESH

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You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology II1 Apr 2014MP75-16 PATIENT QUALITY OF LIFE AFTER REMOVAL OF VAGINAL MESH Diana Kang, Tamara Hartshorn, Judy Choi, Leah Nakamura, Larissa Rodriguez, Ja-Hong Kim, and Shlomo Raz Diana KangDiana Kang More articles by this author , Tamara HartshornTamara Hartshorn More articles by this author , Judy ChoiJudy Choi More articles by this author , Leah NakamuraLeah Nakamura More articles by this author , Larissa RodriguezLarissa Rodriguez More articles by this author , Ja-Hong KimJa-Hong Kim More articles by this author , and Shlomo RazShlomo Raz More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2389AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Despite the growing number of vaginal mesh removal surgeries, little is known about patient quality of life in terms of pain, incontinence, and sexual function after mesh has been removed. We present the short and long terms results of patient satisfaction after mesh removal surgery in our patient population. METHODS A retrospective review was conducted of all vaginal mesh removal procedures performed at the Division of Pelvic Medicine and Reconstructive surgery at UCLA between 2006 and 2012. Vaginal prolapse, sling, and sacrocolpopexy mesh removal were included. Six hundred and sixty-two patients were identified and sent surveys pertaining to their quality of life. The questionnaire included the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12), Incontinence Symptom Score (ISS-8), a modified Stanford comparative pain scale, and a modified International Prostate Symptom Score (I-PSS). Patients were asked where their pain was located on the body and whether they had any systemic symptoms related to mesh. Surveys were collected and reviewed. RESULTS Two hundred and fourteen surveys were collected with a mean follow up rate of 32%. The mean patient age was 65 years old (range 35-92). Mean follow up time since surgery was 39 months (range 5 – 95 months). In terms of improvement after surgery, 55% of patients stated that they were “very much better” or “much better”. A further 22% stated that they were “a little better” while 17% percent stated that they were “much worse” or “very much worse” after the surgery. On the Stanford comparative pain scale 66% of patients rated their pain as mild (score 0-3) while 33% rated their pain as moderate to severe. 30% of patients stated that they had no pain. Many patients continued to have incontinence after the procedure although this was mostly irritative: 64% complained of moderate to great bother due to frequency and 59% complained of moderate to great bother due to urgency. Twenty eight percent of patients complained of stress urinary incontinence at least once a day. In terms of sexual function, 49% of women responding complained of dyspareunia. Twenty seven percent stated that they were no longer sexually active while 20% stated that fear of incontinence usually or always restricted their sexual activity. CONCLUSIONS In this retrospective questionnaire of mesh removal patients, 77% of our patients were much better or improved while 22% were much worse. Our study was limited by a low 32% response rate. The use of vaginal mesh has the potential to cause permanent and disabling pelvic pain, urinary incontinence, and sexual dysfunction despite subsequent mesh removal. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e879 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Diana Kang More articles by this author Tamara Hartshorn More articles by this author Judy Choi More articles by this author Leah Nakamura More articles by this author Larissa Rodriguez More articles by this author Ja-Hong Kim More articles by this author Shlomo Raz More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...