If a patient does not have complications 3 months after mesh insertion, no further follow-up is needed.

De novo lower urinary tract symptoms are never a sign of mesh complications.

Urinary obstruction always presents with elevated postvoid residuals.

Vaginal estrogen sometimes resolves mesh exposure.

Mesh exposure is necessary to diagnose a patient with mesh complications.

history and review of medical records.

history and physical examination, conversation with the original surgeon.

physical examination and diagnostic imaging.

history and physical examination, diagnostic imaging, review of medical records.

history and physical examination, review of medical records.

Levator ani pain after mesh placed vaginally for rectocele repair

All of the above are correct

Sacral pain and osteomyelitis after mesh placed vaginally for cystocele repair

Rectus muscle pain after mesh placed vaginally for rectocele repair

Rectal penetration after midurethral sling

abdominal radiograph for mesh location.

magnetic resonance imaging (MRI) for osteitis or osteomyelitis.

computed tomographic (CT) scan for abdominal abscess.

voiding cystourethrogram for urinary obstruction.

translabial ultrasound for mesh location and size.

All of the above

Polypropylene material

Tined ends

Postinsertion adjustment device

Zero to four arms

partial mesh excision.

medical management of complications.

routine annual follow-up.

referral to another physician for a second opinion.

complete mesh excision.

(b) buttock, groin, or pelvic pain (0% to 18%) and de novo dyspareunia (2% to 28%).

(c) mesh exposure (10%) and reoperation (8%).

(a) mesh exposure (1% to 19%).

a, b, and d

(d) reoperation (1% to 22%).

(c) Risk of incontinence after sling removal ranges from 30% to 50%.

(b) Risk of anterior prolapse recurrence after mesh removal is 60%.

a, b, and c

a and c only

(a) Surgical removal of mesh may improve pain in the majority of patients