Condition guide
Mesh complications and removal
General information about pelvic mesh complications, specialist assessment, revision and removal pathways in South Africa.
In brief
What is mesh complications and removal?
Pelvic mesh was used in some operations for stress incontinence and prolapse. Most people do not develop a complication, but recognised problems can include exposure, pain, infection and urinary symptoms. Assessment should identify the mesh used, its position and the likely causes of symptoms.
This page provides general education, not a diagnosis or personalised treatment plan. Assessment and treatment are tailored to your health, findings and preferences.
Symptoms people may notice
- New or persistent pelvic or vaginal pain
- Pain during intercourse
- Bleeding, discharge or recurrent infection
- Urinary difficulty, urgency or recurrent symptoms after mesh surgery
How assessment may proceed
- Review of previous operation notes and implant information where available
- A sensitive examination with consent
- Targeted imaging or cystoscopy when clinically indicated
- Multidisciplinary review for complex symptoms or removal planning
Conservative options
- Observation for selected minor, symptom-free findings
- Local treatment for small exposures where appropriate
- Pelvic floor physiotherapy and pain-management support
- Treatment of infection or associated bladder symptoms
Procedures and surgery
- Local revision of an exposed segment
- Partial mesh excision
- Complete removal where feasible and clinically appropriate
- Reconstructive treatment planned around symptoms, anatomy and previous surgery
When to seek urgent care
- Fever, severe pain or feeling acutely unwell
- Heavy or foul-smelling discharge
- Inability to pass urine or significant new bleeding
Related care
Relevant procedure guides
Questions
Common questions about mesh complications
Consultation
