Transvaginal mesh repair of anterior or posterior vaginal wall prolapse

6.1 There are many different types of mesh in use, which have variable physical properties. New materials, including newer lightweight mesh, have been developed.

6.2 The surgical technique and method of fixation are important.

6.3 The mesh implant is intended to be permanent. If removal of mesh is needed, it can be technically difficult.

6.4 Randomised controlled trial data showed no added benefit of using mesh compared with native tissue repair.

6.5 The committee noted from consultation comments that when complications occur, these can be serious and have life-changing consequences.

6.6 Most commentaries received from patients reported satisfaction with the procedure and that it had worked and improved their quality of life.

6.7 See also the NICE guideline on managing urinary incontinence and pelvic organ prolapse in women.