Policy briefing

NICE guidance on vaginal mesh surgery

Draft guidance says non-surgical options for urinary incontinence and prolapse must be exhausted first
vaginal mesh

Draft guidance says non-surgical options for urinary incontinence and prolapse must be exhausted first

Essential facts

Mesh and tape devices inserted through the vaginal wall have been a surgical approach to treat the common conditions of urinary incontinence (UI) and pelvic organ prolapse (POP) in women.

UI, an involuntary release of urine, can affect women of all ages, and have a significant effect on the physical, psychological and social well-being of those affected.

Picture: SPL

Up to 50% of women have POP, when one or more of the organs in the pelvis, including the uterus, bowel and bladder, slip down and bulge into the vagina. One in ten women will need surgery, according to the National Institute for Health and Care Excellence (NICE).

What’s new

Surgery using mesh or tape should only be considered for UI or POP when

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