Precision in practice: The critical role of mesh and procedure type specification in urogynecological surgeries and research
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Published Version
Date
2024
Authors
Rotem, Reut
Galvin, Daniel
Daykan, Yair
Al-Shukaili, Sumaiya
O’Reilly, Barry A.
O'Sullivan, Orfhlaith E.
Journal Title
Journal ISSN
Volume Title
Publisher
Springer Nature
Published Version
Abstract
Recently, the debate surrounding the use of mesh in urogynecological procedures has intensified, leading to FDA warnings and heightened safety concerns. This clinical opinion emphasizes the vital need to specify mesh types in these procedures, drawing attention to the risk profiles and clinical outcomes associated with various meshes and the procedures that utilize them. A significant issue identified in contemporary literature is the tendency to group diverse mesh types under the same umbrella, disregarding their unique characteristics and applications. We describe the range of mesh types, their application routes, and associated complications, highlighting the risks of this nonspecific approach to patient safety and informed decision making. We critically examine the generalization of mesh terminology in clinical and research dialogues. Concluding with specific recommendations for health care providers and researchers, the paper advocates for a more nuanced understanding and communication in the field, ultimately aiming to improve patient care and safety in urogynecological practice. © The Author(s) 2024.
Description
Keywords
FDA warnings , Mesh , Mesh type specification , Midurethral sling , Safety , Urogynecology
Citation
Rotem, R., Galvin, D., Daykan, Y., Al-Shukaili, S., O’Reilly, B. A. and O’Sullivan, O. E. (2024) 'Precision in practice: The critical role of mesh and procedure type specification in urogynecological surgeries and research', International Urogynecology Journal, 35(9), pp.1763-1767. https://doi.org/10.1007/s00192-024-05820-5