- Mesh procedures for incontinence are associated with a lower risk for complications and subsequent surgery than open colposuspension.
- Mesh procedures for anterior and posterior compartment prolapse are associated with poor outcomes and complications compared with non-mesh repairs.
Why this matters
- Concerns have been raised about the safety of surgery for stress urinary incontinence and pelvic organ prolapse using transvaginal mesh.
- 16,660 (62%) of 26,885 underwent a first, single incontinence procedure.
- Compared with non-mesh open surgery (colposuspension), mesh procedures had:
— lower risk for immediate complications (adjusted relative risk [aRR], 0.44).
— subsequent prolapse surgery (adjusted incidence rate ratio [aIRR], 0.30 for retropubic and 0.26 for transobturator mesh).
— further incontinence surgery admissions (aIRR, 0.90) and later complications (aIRR, 1.12).
- 18,986 (24...