Abstract
In the past decade, we witnessed a dramatic change in female pelvic surgery. We started by offering slings and meshes to all the patients that needed a procedure to correct stress urinary incontinence and pelvic organ prolapse, and ended up banning them all. The complications correlated with mesh surgery were so dramatic that some national regulating bodies around the world interdicted their use. Many pelvic floor surgeons encountered a new clinical entity, known as “mesh-o mania”. Many patients, even the ones with a perfectly successful outcome and without complications, asked meshes to be removed. The real incidence of the complications associated with mesh surgery is not really known. There are clear outcome advantages in the use of meshes compare to the procedures we used in the pre-mesh era: stress urinary incontinence and correction of the apical components of the vagina are some examples of it.
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