Midurethral Sling Complications May Be Associated with Psychological Stress, esp in Young Women

MedicalResearch.com Interview with:

Blayne Welk MD, MSc, FRCSC Associate Professor of Surgery St. Joseph's Hospital Western University

Dr. Welk

Blayne Welk MD, MSc, FRCSC
Associate Professor of Surgery
St. Joseph’s Hospital
Western University

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: I found that when I was referred women with midurethral sling complications, they were often quite emotional and described a significant period of time when they struggled with the complications before they were referred to someone to assess them.

The study looked at the rate of depression and self-harm behavior of women who had surgery for midurethral sling complications compared to women who did not have midurethral sling complications.

I found that there was an increased risk of both of these outcomes among women who had surgery for complications, however this risk was primarily present in younger women.

MedicalResearch.com: What should readers take away from your report?

Response: Midurethral sling complications may be associated with psychological stress that can manifest itself as depression and in rare cases self harm. Psychological support may be an important  part of the management of these women.


Welk B, Reid J, Kelly E, Wu YM. Association of Transvaginal Mesh Complications With the Risk of New-Onset Depression or Self-harm in Women With a Midurethral Sling. JAMA Surg. Published online January 09, 2019. doi:10.1001/jamasurg.2018.4644

Jan 14, 2019 @ 11:26 pm 

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