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Complications of synthetic mesh inserted for stress urinary incontinence
Author(s) -
Morton Simon,
Wilczek Yasmine,
Harding Christopher
Publication year - 2021
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.15260
Subject(s) - urinary incontinence , medicine , cochrane library , medline , stress incontinence , systematic review , intensive care medicine , surgery , randomized controlled trial , political science , law
Objective To provide an update on the literature regarding the management of complications secondary to synthetic mesh placed to treat stress urinary incontinence (SUI). Methods We performed a systematic review of the literature using a multi‐database structured search within OVID, the Medical Literature Analysis and Retrieval System Online (MEDLINE), the Excerpta Medica dataBASE (EMBASE) and Cochrane library databases; using the keywords: urology, incontinence, mesh and surgery. Results Several million synthetic polypropylene meshes have been inserted into women worldwide to manage SUI. Unfortunately, a significant number of women have now reported life‐changing complications. We found a paucity of studies, heterogeneity of cohorts, poor long‐term follow‐up, and lack of evidence on the effective management of mesh‐related complications. Conclusions The contemporary evidence is low‐level and often contradictory, which prevents robust recommendations regarding treatment. A prospective registry will be required to generate meaningful outcome data and help in the complex management of patients who have mesh‐related complications.