SURGERY: Vaginal mesh debate boosted by two large Scottish studies

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Abstract

Transvaginal mesh for pelvic organ prolapse (POP) is more controversial than ever. The largest randomized trial yet suggests transvaginal mesh or grafts are of no benefit in primary POP repair. Furthermore, a population study looks back at complication rates from pelvic floor mesh surgery over the past two decades.

Refers to Glazener, C. M. et al. Mesh, graft, or standard repair for women having primary transvaginal anterior or posterior compartment prolapse surgery: two parallel-group, multicentre, randomised, controlled trials (PROSPECT). Lancet389, 381-392 (2017) | Morling, J. R. et al. Adverse events after first, single, mesh and non-mesh surgical procedures for stress urinary incontinence and pelvic organ prolapse in Scotland, 1997-2016: a population-based cohort study. Lancet389, 629-640 (2017)

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