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Synthetic mesh.(MASTER CLASS)(Brief article)

OB GYN News

| February 01, 2009 | Miller, Charles E. | COPYRIGHT 2009 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

In the United States from 2005 to 2007, a reported total of 994,890 surgeries--363,000 procedures for pelvic floor prolapse and 631,890 procedures for stress urinary incontinence--utilized synthetic mesh. The impetus for mesh usage was based on the fact that conventional pelvic floor prolaps repair has an estimated failure rate of 30%-50%.

In October 2008, a Public Health Notification was issued by the Food and Drug Administration regarding complications with the transvaginal placement of surgical mesh for pelvic floor prolapse and stress urinary incontinence. Over a 3-year period, the FDA has received more than 1,000 reports of serious mesh-related complications from nine manufacturers. The most frequent complications included erosion through vaginal epithelium, infection, pain, urinary problems, and recurrence. Additional complications were noted due to bowel, bladder, and blood vessel perforation. In some cases, vaginal scarring and erosion led to decreased quality of life.

Because of the concerns noted above, I believe it is essential to review the proper technique that ...

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