Permanent mesh has “limited utility” for vaginal prolapse repair, review finds

BMJ 2016; 352 doi: (Published 10 February 2016) Cite this as: BMJ 2016;352:i822
  1. Jacqui Wise
  1. 1London

A Cochrane systematic review has concluded that artificial mesh has some advantages over native tissue for the surgical treatment of vaginal prolapse but is associated with increased morbidity.1

Research published in the Cochrane Library showed that, while transvaginal permanent mesh probably reduces the risk that women will be aware of a prolapse when compared with tissue repair, the overall benefit was small. Permanent mesh was also associated with higher rates of reoperation for prolapse, stress urinary incontinence, and bladder injury during surgery.

A vaginal prolapse occurs when the walls of the vagina become weak and collapse inwards. It is common, affecting as many as half of women who have had children. Symptoms include pelvic heaviness, backache, and bladder, bowel, or sexual dysfunction.

The traditional method of repairing vaginal prolapse using native tissue is associated with …

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