Cystoscopic evaluation 6-months following anterior vaginal mesh repair: A cross-sectional study
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Abstract
Introduction: Vaginal mesh erosion is the common complication after transvaginal mesh prolapse repair.
Objective: To find abnormal intravesical findings related to anterior vaginal mesh repair and the factors associated with these abnormal finding in asymptomatic patient.
Methods: We conducted a cross-sectional study in patients that had undergone anterior vaginal mesh repair at least 6 months before enrollment. Demographic and clinical data were collected. Urinalysis and routine pelvic examination were performed and rigid cystoscopy using a 30-degree lens was conducted to determine if mesh erosion was present. Abnormal intravesical findings such as mucosal inflammation, mass or stone were recorded.
Results: One hundred subjects were enrolled. The median age was 68 years old (range 43 to 84). Prolapse stage in the anterior compartment ranged from 2 to 4 (median 3). No intravesical mesh erosion or abnormal intravesical findings related to anterior vaginal mesh repair were observed (95% confidence interval: 0% to 3.7%). Two subjects had abnormal findings including Hunner’s ulcers with glomerulation and a bladder diverticulum with large trabeculae.
Conclusions: There were no intravesical mesh erosion and abnormal intravesical findings related to anterior vaginal mesh repair. Accordingly, the routine cystoscopy in asymptomatic post-operative anterior vaginal mesh repair patients is not necessary.
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References
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