Pain ‘persists in many women’ after vaginal mesh removal

Fewer than half of women who undergo partial or complete removal of mesh placed to repair pelvic organ prolapse have complete resolution of pain afterward, a retrospective study shows.
US researchers reviewed data on 92 women who underwent pelvic organ prolapse mesh removal at a centre in Arizona between 2009 and 2018. Pelvic/vaginal pain or dyspareunia was the primary indication in 78 patients (85%).
Other indications included mesh exposure in 38 (49%) and recurrent urinary tract infections in seven (11.5%).
Some 45 women (58%) had complete mesh removal. Intraoperative complications occurred in seven patients (9%), most commonly haemorrhage.