Histologic Inflammatory Response to Transvaginal Polypropylene Mesh: A Systematic Review

Urology. 2018 Jan:111:11-22. doi: 10.1016/j.urology.2017.08.010. Epub 2017 Aug 17.

Abstract

To evaluate the inflammatory response following transvaginal implantation of polypropylene (PP) mesh. A comprehensive literature search was performed in the following databases from inception in April 2017: Ovid MEDLINE, Ovid EMBASE, and The Cochrane Library (Wiley). The studies retrieved were screened for eligibility against predefined inclusion and exclusion criteria. Twenty-three articles were included in this review. Following the implantation of PP mesh, there are immediate and local inflammatory responses. PP mesh elicits an inflammatory response that decreases over time; however, no studies documented a complete resolution. Further studies are needed to determine if there is a complete resolution of inflammation or if it persists.

Publication types

  • Review

MeSH terms

  • Animals
  • Disease Models, Animal
  • Female
  • Humans
  • Inflammation / etiology*
  • Inflammation / pathology*
  • Polypropylenes / adverse effects*
  • Postoperative Complications / etiology*
  • Postoperative Complications / pathology*
  • Surgical Mesh / adverse effects*
  • Urinary Incontinence, Stress / surgery*
  • Vagina

Substances

  • Polypropylenes