V249 THE USE OF MESH IN FEMALE PELVIC SURGERY AN EDUCATIONAL VIDEO

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You have accessJournal of UrologyFemale Voiding Dysfunction (Pelvic Reconstruction and Incontinence)1 Apr 2012V249 THE USE OF MESH IN FEMALE PELVIC SURGERY AN EDUCATIONAL VIDEO Sarah Kane, Adonis Hijaz, and Firouz Daneshgari Sarah KaneSarah Kane Cleveland, OH More articles by this author , Adonis HijazAdonis Hijaz Cleveland, OH More articles by this author , and Firouz DaneshgariFirouz Daneshgari Cleveland, OH More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.305AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The July 13th, 2011 FDA warning statement on surgical mesh used for pelvic organ prolapse and stress incontinence surgery caused much anxiety for patients and for Female Pelvic Surgeons. In this video, our objectives are to show the evolution of prolapse and incontinence repair surgery. This includes showing how prolapse repair incorporating mesh has been used in the past and more recently, and also how the surgical treatment of stress incontinence has evolved to include mesh as the standard of care. We also review the FDA's warning and what it means for patients contemplating surgery. METHODS We highlight the progression of Female Pelvic Surgery from abdominal to minimally invasive surgery and the incorporation of surgical mesh. We then demonstrate the evolution of mesh from the initial midurethral slings to the vaginal mesh kits available today in a timeline, and the slings are compared to the vaginal mesh kits. Surgical treatment of pelvic organ prolapse using mesh and non-mesh techniques is then discussed, giving risks and benefits of each option. The FDA warning statement on mesh is then explained to help patients make informed decisions. RESULTS The FDA review concluded that transvaginal prolapse repair with mesh does not improve symptomatic results or quality of life when compared to the traditional sutured tissue repair, and mesh used in transvaginal prolapse repair introduces risks not present in traditional non-mesh surgery prolapse repair. They added that abdominal or robotic sacral colpopexy has a lower risk of mesh complication than transvaginal use of mesh in prolapse treatment. The review of the use of mesh for the treatment of stress incontinence is still in progress, with no final recommendations having been made for its use. CONCLUSIONS We hope that patients watching this video will have a better understanding of the use of mesh in Female Pelvic Surgery, and that this knowledge will help them make informed decisions regarding their surgical treatment. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e101 Peer Review Report Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sarah Kane Cleveland, OH More articles by this author Adonis Hijaz Cleveland, OH More articles by this author Firouz Daneshgari Cleveland, OH More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...