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Use mesh implants for stress urinary incontinence only as last resort, says NICE

BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4242 (Published 09 October 2018) Cite this as: BMJ 2018;363:k4242
  1. Zosia Kmietowicz
  1. The BMJ

Surgical mesh or tape should be used to treat stress urinary incontinence or pelvic organ prolapse only after all non-surgical options have been reviewed, the UK National Institute for Health and Care Excellence has said in draft guidance.1

When mesh or tape is used, the procedures and any related complications should be recorded in a national database to help with future decisions about its use, it said.

The safety of mesh implants has been brought into question by thousands of women around the world, many of whom are taking legal action against manufacturers, including in the UK.

In July the use of surgical mesh for stress urinary incontinence was suspended in England by the life peer Julia Cumberlege,2 just days after she began taking evidence from women affected by mesh as part of an independent review.3 The government set up the review in February after pressure from …

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