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Insertion and Removal of Vaginal Mesh for Pelvic Organ Prolapse

M. MUFFLY, TYLER MD; BARBER, MATTHEW D. MD, MHS

Clinical Obstetrics and Gynecology: March 2010 - Volume 53 - Issue 1 - p 99-114
doi: 10.1097/GRF.0b013e3181cefab8
Vaginal Surgery

A variety of surgical meshes are available to correct pelvic organ prolapse. This article discusses benefits and risks of vaginal mesh use. Emphasis is placed on the appropriate surgical technique to improve outcomes and minimize mesh complications. Placement options are reviewed with the discussion of self-tailored mesh, trocar-based mesh kits, and non-trocar mesh kits. This article also reviews the management of mesh complications including the technique for mesh removal.

Department of Obstetrics and Gynecology, Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio

Correspondence: Matthew D. Barber, MD, MHS, Section of Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Desk A81, Cleveland, OH. E-mail: barberm2@ccf.org

The authors have no potential conflicts of interest.

© 2010 Lippincott Williams & Wilkins, Inc.