Vaginal Mesh in prolapse surgery TPG 2018

Question 1

What is the difference between grafts and mesh?

Answer 1

Grafts - biological materials

Mesh - synthetic materials

Question 2

Table explained grafts and mesh.

Answer 2

Question 3

Most common mesh used in gynaecology

Answer 3

Type 1 monofilament polypropylene mesh

Question 4

Does using synthetic meth improve symptomatic results of QoL over traditional non mesh repair

Answer 4

According to FDA systematic review - no.
Mesh has additional risks.

Question 5

According to MHRA anterior or posterior mesh repair - incidence of pain, deteriorated sexual function, organ damage, mesh exposure

Answer 5

Pain 5%
deteriorated sexual function 15%
Organ damage 2%
Mesh exposure: 6.5%