Meshes in Stress Urinary Incontinence and Pelvic Organ Prolapse
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.