The use of mesh in vaginal prolapse repair: do the benefits justify the risks?

Abstract:

PURPOSE OF REVIEW:Due to the desire for improved outcomes, the use of synthetic materials in vaginal prolapse repair has been increasing despite the lack of sound evidence of their efficacy and safety. RECENT FINDINGS:Given the limited number of randomized controlled trials evaluating repair of vaginal prolapse with the use of mesh and a paucity of data on long-term outcomes and complications, there is no clear evidence to suggest mesh should or should not be used. However, complications of mesh can range from minor to major but may lead to chronic, potentially debilitating conditions. SUMMARY:Tailoring surgical decision-making for the individual patient must take into account and balance the patient's anatomy, symptoms, and functional status. Repairing anatomy alone is not the only important factor. The use of synthetic materials in prolapse repair demands critical examination, given the devastating complications that can occur.

journal_name

Curr Opin Urol

authors

Morrisroe S,Lee U,Raz S

doi

10.1097/MOU.0b013e32833a5120

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

275-9

issue

4

eissn

0963-0643

issn

1473-6586

journal_volume

20

pub_type

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