The role of synthetic mesh in the treatment of pelvic organ prolapse

Abstract

Genital prolapse is a common indication for surgery and 30% of women treated with conventional surgery will develop recurrence of symptoms. Innovative surgical repair techniques and systems are emerging but the search continues for the ideal procedure with guaranteed permanent success. There is a general paucity of evidence to assist the surgeon in selecting the optimal approach. This article addresses the role of different approaches to synthetic mesh repair in pelvic organ prolapse, their success rate and their short‐ and long‐term morbidity. Learning objectives: To understand the properties of synthetic mesh and the body's response. To understand the possible roles of synthetic mesh in pelvic organ prolapse. To be aware of the indications for use and the limitations and complications of the uses of mesh in pelvic organ prolapse. Ethical issues: The use of synthetic mesh has not been fully evaluated in randomised controlled trials but has been widely adopted into clinical practice. Is this an example of novelty triumphing over clinical evidence? Please cite this article as: Devaseelan P, Fogarty P. The role of synthetic mesh in the treatment of pelvic organ prolapse. The Obstetrician & Gynaecologist 2009;11:169–177.