Ultrasound for monitoring mesh

With the introduction of TVT (tension-free vaginal tape) by Ulmsten in 1996 (1, 2), multiple new treatments have been expanded upon in the area of urogynaecology based on the use of polypropylene mesh, both in the field of stress incontinence and prolapse. The great advantage of this material is its good integration with the body’s tissues, but one of its drawbacks is the fact that it is impossible to visualize directly with radiological tests such as CT scans or MRIs (3). Ultrasound, however, provides perfect visualization of polypropylene mesh and is accessible and inexpensive.

In addition, ultrasound allows us to diagnose complex anatomical alterations both statically and dynamically – which is essential for assessing certain errors in pelvic floor surgery.

In this section, we will attempt to define what ultrasound can contribute to pelvic floor surgery follow-up and the monitoring of its complications and anatomical errors.

More information

  • General features

    Ultrasound is a safe, inexpensive and accessible technique that allows for both a static and dynamic evaluation, in real time, of all the anatomical elements of the female pelvis. It also allows us to visualize implants, …Read more

  • Anti-incontinence mesh

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  • Ultrasound for prolapse surgery follow-up

    Pelvic floor ultrasound may be useful for various aspects of managing pelvic organ prolapse, including: Pre-surgically selecting patients with higher risk of recurrence and patients with levator ani injury or with a …Read more

  • Ultrasound for monitoring the complex patient

    Ultrasound is also very useful in other situations: with patients who have undergone pelvic floor surgery when we do not know exactly which procedure was implemented, what type of mesh was used, etc. (Figure 12).Read more

  • Bibliography

    Ulmsten U, Henriksson L, Johnson P, et al. An Ambulatory Surgical Procedure Under Local Anesthesia for Treatment of Female Urinary Incontinence. International Journal Urogynecology. 1996; 7(2): p. 81-86. Ulmsten U, …Read more