International Urogynecology Journal

, Volume 23, Issue 1, pp 5–9 | Cite as

Time to rethink: an evidence-based response from pelvic surgeons to the FDA Safety Communication: “UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse”

  • Miles Murphy
  • Adam Holzberg
  • Heather van Raalte
  • Neeraj Kohli
  • Howard B. Goldman
  • Vincent Lucente
  • on behalf of the Pelvic Surgeons Network
Debate: Transvaginal Mesh for POP -- The Recent FDA Update


In July of 2011 the U.S. Food and Drug Administration (FDA) released a safety communication entitled “UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse.” The stated purpose of this communication is to inform health care providers and patients that serious complications with placement of this mesh are not rare and that it is not clear that these repairs are more effective than nonmesh repair. The comments regarding efficacy are based on a systematic review of the scientific literature from 1996–2011 conducted by the FDA. Our review of the literature during this time yields some different conclusions regarding the safety and efficacy of mesh use in prolapse repair. It may be useful to consider this information prior to making recommendations regarding mesh use in prolapse surgery according to the recent UPDATE.


Mesh FDA Transvaginal Prolapse Safety 

Supplementary material

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Copyright information

© The International Urogynecological Association 2011

Authors and Affiliations

  • Miles Murphy
    • 1
  • Adam Holzberg
    • 2
  • Heather van Raalte
    • 3
  • Neeraj Kohli
    • 4
  • Howard B. Goldman
    • 5
  • Vincent Lucente
    • 6
  • on behalf of the Pelvic Surgeons Network
  1. 1.The Institute for Female Pelvic Medicine & Reconstructive SurgeryNorth WalesUSA
  2. 2.Robert Wood Johnson Medical SchoolCooper University HospitalCamdenUSA
  3. 3.Princeton UrogynecologyUniversity Medical Center at PrincetonPrincetonUSA
  4. 4.New England Center for UrogynecologyNewton-Wellesley Hospital/Brigham & Women’s Hospital, Harvard Medical SchoolBostonUSA
  5. 5.Section of Female Pelvic Medicine and Reconstructive Surgery, Glickman Urologic and Kidney InstituteThe Cleveland ClinicClevelandUSA
  6. 6.The Institute for Female Pelvic Medicine & Reconstructive SurgeryAllentownUSA

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