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The Scottish Independent Review of the Use, Safety and Efficacy of Transvaginal Mesh Implants in the Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse in Women: Interim Report

The Scottish Independent Review of the Use, Safety and Efficacy of Transvaginal Mesh Implants in the Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse in Women: Interim Report

Friday, October 2, 2015

ISBN: 9781785447051

This Interim Report outlines the work of the Independent Review of the use, safety and efficacy of transvaginal mesh implants in the treatment of stress urinary incontinence (SUI) and pelvic organ prolapse (POP).

Executive Summary

Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) are conditions affecting a significant number of women and can result in a reduced quality of life for many. Synthetic polypropylene mesh is a permanent implantable medical device used in a number of operations to correct SUI and POP.

Concerns about the safety of mesh devices were raised by women experiencing complications. Some women adversely affected by these implants have experienced very serious complications, altering their lives forever.

This Interim Report outlines the work of the Independent Review of the use, safety and efficacy of transvaginal mesh implants in the treatment of stress urinary incontinence (SUI) and pelvic organ prolapse (POP).

The deliberations of the Independent Review have been based on considering published evidence, patient stories and the opinion of clinical experts. In addition an epidemiological study has been conducted using routinely reported Scottish hospital inpatient data.

Some conclusions are specific to improving care in the use of transvaginal mesh. Others are intended to benefit patients in general