A 58-year-old woman had mesh surgery for stress urinary incontinence 6 years ago. She now has chronic pelvic pain, dyspareunia and recurrent vaginal

Question

A 58-year-old woman had mesh surgery for stress urinary incontinence 6 years ago. She now has chronic pelvic pain, dyspareunia and recurrent vaginal bleeding after intercourse. Examination suggests mesh exposure. When should this patient be referred?

Accepted Answer

Refer to a specialist mesh complications centre

Answer

Treat with repeated antibiotics indefinitely

Answer

Reassure because mesh complications occur early

Answer

Advise no further assessment

Answer

Trim exposed mesh in primary care

Mesh complication — DRCOG MCQ

A 58-year-old woman had mesh surgery for stress urinary incontinence 6 years ago. She now has chronic pelvic pain, dyspareunia and recurrent vaginal bleeding after intercourse. Examination suggests mesh exposure. When should this patient be referred?