A Cochrane review, published on Wednesday,
found that mesh procedures to correct stress urinary incontinence are relatively safe.
The report shows that the cure rates for such procedures are around 70 – 80% overall.
The Scottish government had suggested a temporary suspension of the use of mesh after several patient came forward with having experience adverse effects with the mesh.
However, the Cochrane scientists said that after their analysis of 81 studies
they found that such issues were very rare.
- Minislings are supported (TVT Secure excluded)
- SMUS and SIMS are equally effective – Less mesh is preferred
- Mesh in anterior compartment is superior to native tissue repair
- Only use mesh as second line
- Patient selection and proper consenting is key
- Focus on physician training
- Certification of suitable implanters according to society standards
- Use of patient registry