Transvaginal mesh short-life working group: report

Appendix Four: Pathways summary

Pathways of care for women with complications of mesh

The following pathways of care for women with complications of mesh are available in NHSScotland:

• Grampian mesh pathway
• Highland Urinary incontinence pathway, incorporating management of mesh complications
• Lothian pathway for vaginal mesh complications and pathway for patient presenting in primary care with previous TVM
• Fife pathway following a mesh procedure
• Lanarkshire pathway for women with implants inserted for SUI and POP
• Borders vaginal mesh complications pathway
• Tayside clinical approach for post mesh complications
• West of Scotland pelvic floor disfunction pathway
• West of Scotland pelvic mesh complications pathway

The island Boards have indicated that they do not have separate pathways of care for mesh complications.