Pain after vaginal prolapse repair surgery with mesh is a post-surgical neuropathy which needs to be treated - and can possibly be prevented in some cases

Thierry Vancaillie; Yasmin Tan; Jason Chow; Lauren Kite; Liz Howard

doi:10.1111/ajo.12804

Pain after vaginal prolapse repair surgery with mesh is a post-surgical neuropathy which needs to be treated - and can possibly be prevented in some cases

Aust N Z J Obstet Gynaecol. 2018 Dec;58(6):696-700. doi: 10.1111/ajo.12804. Epub 2018 Mar 25.

Authors

Thierry Vancaillie^{1

2

3}, Yasmin Tan^{3

4}, Jason Chow^{3

5}, Lauren Kite^{3

5}, Liz Howard^{3

6}

Affiliations

¹ Department of Women's and Children, University of New South Wales, Sydney, New South Wales, Australia.
² Royal Hospital for Women, Sydney, New South Wales, Australia.
³ Women's Health & Research Institute of Australia, Sydney, New South Wales, Australia.
⁴ Vulval Health Clinic, Royal Hospital for Women, Sydney, New South Wales, Australia.
⁵ Chronic pelvic pain clinic, Royal Hospital for Women, Sydney, New South Wales, Australia.
⁶ Osteopath, Pain Management, Education and Support, Women's Health & Research Institute of Australia, Sydney, New South Wales, Australia.

Abstract

Post-surgical neuropathy leading to chronic pain is a recognised complication. It also can occur after surgery for pelvic organ prolapse repair involving mesh. Post-surgical neuropathy needs to be identified and properly treated to minimise the occurrence of chronic pain. A treatment algorithm is put forward for discussion .

Keywords: chronic pain; mesh; pelvic organ prolapse; post-surgical neuropathy; treatment algorithm.

© 2018 The Authors Australian and New Zealand Journal of Obstetrics and Gynaecology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

MeSH terms

Aftercare
Algorithms
Chronic Pain / etiology
Chronic Pain / therapy
Female
Humans
Neuralgia / etiology*
Neuralgia / prevention & control
Neuralgia / therapy*
Pain Management
Pain, Postoperative / etiology*
Pain, Postoperative / prevention & control
Pain, Postoperative / therapy*
Population Surveillance*
Postoperative Care
Preoperative Period
Risk Factors
Surgical Mesh
Uterine Prolapse / surgery*