Original ArticleIncidence and Risk Factors for Pelvic Pain After Mesh Implant Surgery for the Treatment of Pelvic Floor Disorders
Section snippets
Methods
After institutional review board approval, women were identified from a surgical databased who had undergone pelvic mesh implant surgery between July 2011 and April 2014 with an attending surgeon in the University of North Carolina at Chapel Hill Division of Female Pelvic Medicine and Reconstructive Surgery. STROBE guidelines were followed [16]. These women were contacted via telephone and offered study enrollment. Assessments were conducted over the telephone. Exclusion criteria were prior
Results
Of 558 eligible women who underwent mesh implant surgery between July 2011 and April 2014, 398 either could not be reached (n = 342), were ineligible (n = 42), or declined (n = 14), leaving 160 women, who were enrolled. No women reported repeat pelvic mesh surgery since the index surgery. Mean time since surgery was 21 months (Table 1). Most study participants were over age 60, white, and postmenopausal. Tobacco use was rare (1.9%), with an average of half a pack per day for current smokers.
Discussion
One in 6 women reported de novo pelvic pain at least 1 year after pelvic mesh implant surgery, with decreased sexual function. Associated factors included younger age, fibromyalgia, persistent early postoperative pain, poorer physical health, and increased somatization. Mesh location did not predict postoperative pelvic pain. Rather, all types of mesh implants were associated with some degree of somatic and neuropathic pain in the group reporting pain. In terms of pain quality, perirectal and
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The authors declare that they have no conflict of interest. This work was supported by grant number T35-DK007386 from the National Institutes of Health.