Mesh use in surgery for pelvic organ prolapse

Journal BMJ
Authors Barber, Matthew D
Year Published 2015
Link to article

Introduction

By age 80 years, one in eight women will undergo surgery for pelvic organ prolapse (POP), a condition where the pelvic organs descend into or through the vaginal canal. In the United States, about 80% of procedures are performed transvaginally. Building on the experience of general surgeons and the treatment of abdominal hernias, pelvic surgeons began using synthetic mesh to augment prolapse repairs to reduce prolapse recurrence seen frequently after native tissue (non-mesh) repairs. However, use of synthetic mesh also results in increased adverse events, in some cases with serious consequences