Phenotyping of isolated mesh associated pain secondary to continence mesh device insertion - Takeaways - MDSpire

Phenotyping of isolated mesh associated pain secondary to continence mesh device insertion

  • By

  • Hawra Badri

  • Karen Ward

  • Richard Edmondson

  • Fiona Reid

  • June 17, 2026

  • 0 min

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  • 1

    Isolated Mesh Associated Pain Syndrome (I-MAPS) is the most common complication following continence device insertion, with unknown pain mechanisms.

  • 2

    The study included 280 women, revealing high pre-existing pain conditions and identifying pain phenotypes as predominantly neuropathic.

  • 3

    Pain assessments indicated that 55% of patients had neuropathic pain, while 22% had nociceptive pain and 23% exhibited mixed pain origins.

  • 4

    Trans-obturator devices were linked to higher pain scores compared to retropubic devices, indicating potential differences in pain mechanisms.

  • 5

    Patients with I-MAPS reported moderate functional disability, anxiety, depression, and poor quality of life, highlighting the chronic pain burden.

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