Meshes in Stress Urinary Incontinence and Pelvic Organ Prolapse

  • Neil Harris


The use of mesh in female reconstructive urology, particularly for treatment of stress urinary incontinence (SUI) and more recently for surgical treatment of pelvic organ prolapse (POP), has become increasingly common over the past decade. The mainstay of surgical management of SUI is now the synthetic mid-urethral tape. These are placed via either a transvaginal, retropubic (TVT), or transvaginal transobturator (TOT) approaches. Meta-analyses of published data show the two approaches have similar efficacy, but slightly different side effect and risk profiles.


Pelvic Floor Stress Urinary Incontinence Pelvic Organ Prolapse Synthetic Mesh Transvaginal Mesh 
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Further Reading

  1. Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia. 1997;1:15–21.CrossRefGoogle Scholar
  2. Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S. Surgical management of pelvic organ prolapse in women: a short version Cochrane review. Neurourol Urodyn. 2008;27(1):3–12.PubMedCrossRefGoogle Scholar
  3. Novara G, Artibani W, Barber MD, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and mid-urethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol. 2010;58(2):218–38.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2012

Authors and Affiliations

  1. 1.Department of UrologySt James’s University HospitalLeedsUK

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