Editing Functional: Mesh Complications (section)

== Pelvic Reconstructive Surgery ==

* The current standard of surgical repair for the treatment of prolapse of the pelvic organs is a mesh suspension of the prolapse to the sacral promontory (sacrocolpopexy).
* Mesh was adopted to augment native tissue repair to improve objective outcomes
** '''The most widely used products are made of polypropylene because this material has demonstrated significantly fewer morbid complications compared with prior material'''
*** Polypropylene is categorized as a type I '''macroporous monofilament mesh'''

===== Complications of Mesh in Pelvic Reconstructive Surgery =====

* May be due to synthetic material, host response, surgical factors, or a process not yet identified
* Occur in 10% of patients
** Are usually minimally morbid but some cannot be completely reversed.
** Long-term complications may manifest months or years after insertion.
* '''The Committee on Gynecologic Practice recommendeds counseling patients regarding the risks of:'''
*# '''Mesh exposure (range 1-19%):'''
*# '''Buttock, groin, or pelvic pain (range 0-18%)'''
*# '''De novo dyspareunia (range 2-28%)'''
*# '''Reoperation (range 1-22%)'''