Uploaded on Nov 30, 2025
Mesh sling surgeries for SUI have been reported to be successful in approximately 70–80% of women at 1 year based on women’s reports and physical examinations. Similar effectiveness outcomes are reported following nonmesh SUI surgeries such as Burch colposuspension. The use of mesh slings in transvaginal SUI repair introduces a risk that does not present in traditional nonmesh surgery for SUI repair, which is mesh erosion, also known as extrusion. Erosion of mesh slings through the vagina is the most commonly reported mesh-specific complication from SUI surgeries with mesh. The average reported rate of mesh erosion at 1 year following SUI surgery with mesh is approximately 2%. Mesh erosion is sometimes treated successfully with vaginal cream or an office procedure where the exposed piece of mesh is cut. In some cases of mesh erosion, it may be necessary to return to the operating room to remove part or all of the mesh.
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