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Iatrogenic Pelvic Pain : Surgical and Mesh Complications

LEE D; CHANG J; ZIMMERN PE
PHYS MED REHABIL CLIN N AM , 2017, vol. 28, n° 3, p. 603-619
Doc n°: 183617
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmr.2017.03.010
Descripteurs : DE261 - TRAITEMENT CHIRURGICAL - BASSIN ET SACRUM

Female stress urinary incontinence and pelvic organ prolapse are prevalent
conditions in adult women. Among treatment alternatives, more traditional methods
of surgical intervention have been supplanted by synthetic polypropylene mesh
kits. However, novel complications with mesh-related exposure, pelvic pain alone
or with dyspareunia, and increased incidence of revision surgeries, resulted in 2
FDA warnings on transvaginal mesh use for prolapse repair. This review examines
the anatomy of the vagina and urethra, the etiology of pain related to mesh use,
and the relevant surgical techniques for management of this complication along
with their outcomes.
CI - Copyright (c) 2017 Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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