Vaginal Mesh Survivorship

The objective is to propo se the concept of vaginal mesh survivorship, examine which aspects of the cancer survivorship framework are applicable to patients with vaginal mesh complications, and apply these accordingly.Recent findingsA literature review of vaginal mesh complications was performed to identify the current state of care received by patients and patient-reported outcomes. Subcategories from the cancer survivorship framework were compared with the current care of women with vaginal mesh complications. Areas of improvement and gaps in research were identified.SummaryNearly all domains of the cancer survivorship framework are pertinent to women with vaginal mesh complications. The surveillance for secondary cancers is not relevant, but there is a need for follow-up care as many women report subsequent health problems. There are late effects of treatment, such as pain and pelvic floor dysfunction, in a significant proportion of women. The need for health promotion, addressing psychosocial well-being, caregiver needs, and coordination of care is also relevant. Literature on the above topics is limited, and patient-centered research is important. Psychosocial support is critical as it has been shown that depression rates are higher in women who undergo subsequent surgery related to transvaginal mesh complications. The cancer survivorship framework allows us to assess gaps in care for women with mesh-related complications. Optimal methods on how to assess and care for th...
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research