What do urogynecologists think about mesh for pelvic floor problems?

Two sides: There are two opinions for the most part. Those that dislike mesh & those that like mesh. The mesh group can further be divided by those that place the mesh vaginally & those that place it abdominally (sacrocolpopexy) by open incision, laparoscopy, or robotic assisted. Many consider sacrocolpopexy the gold standard for prolapse repair withe the first one being done in 1957.

Some do and don't: The society as a whole has setup criteria for who should and shouldn't use mesh for reconstruction. It's use for this purpose should be limited. The much smaller piece for incontinence is very safe in trained hands and is the gold standard. Sometimes called tvt- about 40 million worldwide.

Yes and No: With all of the controversy about mesh, it's important to know that there are mesh and non mesh options for any repair that is needed, including incontinence. The fda has published consumer awareness literature that should be shared with patients considering a mesh procedure. It's important to ask your physician about the options and the reasons for recommended procedures.

It depends...: Mesh can be a valuable tool for treating pelvic prolapse and urinary incontinence. To be successful it requires an experienced surgeon and appropriate patient selection.

No simple answer: Mesh is a tool that is used in many different ways in uorgynecology. Some uses appear to have low risks of problems(e.g. for urinary incontinence) and have significant advantages, and other uses have high risks of serious complications and no proof of advantages. If your doctor is recommending the use of mesh for your prolapse or incontinence, make sure they do the procedures often.