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July 15, 2026International Journal of Impotence ResearchOpen Access

The developing field of meshology – what is new in the management of mesh complications in female incontinence and prolapse – a systematic review of outcomes

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Authors

BTBogdan ToiaUniversity College London Hospitals NHS Foundation TrustABAmna ButtUniversity College London Hospitals NHS Foundation TrustRBRachel BarrattUniversity College Hospital

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Overview

Systematic review analyzes treatment outcomes for mesh complications in women, suggesting evolving management strategies.

Key Points

  • This review aims to summarize the current knowledge on managing mesh complications in women undergoing procedures for incontinence and prolapse.
  • Systematic review of 56 studies involving 4480 patients published between 2015 and 2025.
  • Analysis focused on treatment indications, complete mesh removal, and outcomes of delayed complications.
  • Exploration of various treatment options including pain management and endoscopic techniques.
  • Pain was reported as the primary reason for treatment in 49-68% of women.
  • Removal of the mesh's sub-urethral component increases the risk of de novo incontinence (odds ratio 10.7).
  • 15.6% of patients experienced hospital stays longer than 2 days post-mesh removal, with complications occurring in 2.8-13.7% of cases.

Cite This Study

Toia et al. (2026) studied this question.

synapsesocial.com/papers/6a57229088b21df87547f870https://doi.org/10.1038/s41443-026-01316-6
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