Abstract

Lower Urinary Tract Mesh Perforations following the Insertion of Mid-urethral Tapes or Transvaginal Mesh: A Tertiary Unit’s Experience

Highlights

  • Synthetic mesh has been used in to treat Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI) for over 20 years

  • As public concerns grew in Scotland, the Scottish Government called for a suspension in 2014 and commissioned a review of the use of mesh grafts, the final report of which was published in March 2017 [5]

  • There was a total of 45 cases of patients referred with urinary tract mesh perforation over this time period

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Summary

Introduction

Synthetic mesh has been used in to treat Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI) for over 20 years. Since July 2018 in England, the Government has advised of a period of high vigilance restriction, and as such, vaginal mesh surgery should not be performed for the majority of patients during this period [6]. This echoes similar restrictions in other countries; in Australia, vaginal mesh used to treat pelvic organ prolapse has been banned [7]

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