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Indications, Contraindications, and Complications of Mesh in Surgical Treatment of Pelvic Organ Prolapse

ELLINGTON, DAVID R. MD; RICHTER, HOLLY E. PhD, MD

Clinical Obstetrics and Gynecology: June 2013 - Volume 56 - Issue 2 - p 276–288
doi: 10.1097/GRF.0b013e318282f2e8
Devices and Meshes for the Surgical Treatment of Prolapse and Incontinence

Women are seeking care for pelvic organ prolapse in increasing numbers and a significant proportion of them will undergo a second repair for recurrence. This has initiated interest by both surgeons and industry to utilize and design prosthetic mesh materials to help augment longevity of prolapse repairs. Unfortunately, the introduction of transvaginal synthetic mesh kits for use in women was done without the benefit of level 1 data to determine its utility compared with native tissue repair. This report summarizes the potential benefit/risks of transvaginal synthetic mesh use for pelvic organ prolapse and recommendations regarding its continued use.

Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, University of Alabama at Birmingham, Birmingham, Alabama

The authors declare that they have nothing to disclose.

Supported by 2 K24 DK68389 to H.E.R.

Correspondence: Holly E. Richter, PhD, MD, Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, University of Alabama at Birmingham, Birmingham, AL. E-mail: hrichter@uabmc.edu

© 2013 by Lippincott Williams & Wilkins.