症例 challenge · Surgical approach decision / Gynecology / Pelvic floor · teaching

Pelvic Mesh Complications · Management · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ACOG / IUGA-ICS / FDA

Case #1Surgical approach decision / Gynecology / Pelvic floor

📋 Case data

Complication type + symptoms + mesh location/materialSymptomatic vaginal exposure/extrusion (bleeding/discharge/pain/dyspareunia)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Complication type + symptoms + mesh location/material

Complication type? Symptoms? Mesh location (transvaginal/abdominal) and material (monofilament/multifilament)?

💡 FDA reclassified transvaginal POP mesh to Class III and stopped its sale in 2019; abdominal sacrocolpopexy mesh and midurethral slings for stress incontinence remain in use. ICS/IUGA report by CTS (category-time-site) classification.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.