Pain Related to Transvaginal Mesh Placed for Stress Urinary Incontinence and Pelvic Organ Prolapse

Since the Food and Drug Administration (FDA) released the safety communication regarding transvaginal mesh used for prolapse repair, the focus on complications related to transvaginal mesh has been heightened. Various complications can occur after transvaginal mesh placed for either stress incontinence or pelvic prolapse; however, persistent pain after mesh placement for stress urinary incontinence and pelvic prolapse, including vaginal pain, dyspareunia, suprapubic pain, and thigh pain, can incur significant morbidity for the patient. Evaluation and treatment options are reviewed.