A 63-year-old woman had mesh surgery for stress incontinence 8 years ago. She now has pelvic pain, dyspareunia and recurrent vaginal discharge.

Question

A 63-year-old woman had mesh surgery for stress incontinence 8 years ago. She now has pelvic pain, dyspareunia and recurrent vaginal discharge. Speculum examination suggests mesh exposure. When should this patient be referred?

Accepted Answer

Refer to a specialist mesh complications service

Answer

Remove the mesh in the GP surgery

Answer

Treat with repeated antibiotics in primary care indefinitely

Answer

Refer if she develops urinary retention later

Answer

Reassure because mesh exposure is expected after menopause

Mesh complication — DRCOG MCQ

A 63-year-old woman had mesh surgery for stress incontinence 8 years ago. She now has pelvic pain, dyspareunia and recurrent vaginal discharge. Speculum examination suggests mesh exposure. When should this patient be referred?