Endovaginal Imaging: Vaginal Mesh and Implants
1
Issued Date
2025-01-01
Resource Type
Scopus ID
2-s2.0-105022399429
Journal Title
Practical Pelvic Floor Ultrasonography A Multicompartmental Approach to 2d 3D 4d Ultrasonography of the Pelvic Floor
Start Page
235
End Page
258
Rights Holder(s)
SCOPUS
Bibliographic Citation
Practical Pelvic Floor Ultrasonography A Multicompartmental Approach to 2d 3D 4d Ultrasonography of the Pelvic Floor (2025) , 235-258
Suggested Citation
Manonai J., Karimi Z., Shobeiri S.A. Endovaginal Imaging: Vaginal Mesh and Implants. Practical Pelvic Floor Ultrasonography A Multicompartmental Approach to 2d 3D 4d Ultrasonography of the Pelvic Floor (2025) , 235-258. 258. doi:10.1007/978-3-031-92486-6_9 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113316
Title
Endovaginal Imaging: Vaginal Mesh and Implants
Author(s)
Corresponding Author(s)
Other Contributor(s)
Abstract
Surgical repair for pelvic organ prolapse has traditionally been carried out using native tissue. Over the past three decades, transvaginal mesh implant procedures for prolapse have been developed to reduce the risk of anatomical recurrence. Polypropylene mesh is associated with a higher risk of complications compared with native tissue, including mesh contraction, mesh exposure and extrusion, urinary tract or lower gastrointestinal tract compromise or perforation, and musculoskeletal structure involvement. The 2011 Update to the Food and Drug Administration’s Public Health Notification regarding the use of transvaginal mesh stated that these complications are not rare and can be difficult to treat. Besides history taking and pelvic examination, imaging modalities, especially ultrasonography, are beneficial for diagnosing mesh complications and mapping surgical treatment strategies. Polypropylene mesh is easily visualized with ultrasound, given its pathognomonic appearance. Translabial, endovaginal, and endoanal approaches are useful in determining the location and extent of mesh implants.