Progress and controversies in vaginal prolapse surgery: audience survey and case studies

Workshop 11

ICS Members Only
Join ICS sign in
ICS Members Only
Renew ICS Membership

ICS Members Only

Workshop Schedule

11:00

Nikolaus Veit-Rubin

11:10

All

11:15

None

11:20

Heinz Koelbl

11:35

All

11:40

Renaud de Tayrac

11:55

All

12:00

Alex Digesu

12:15

All

12:20

All

Aims & Objectives

Advanced
90 minutes
Pelvic Organ Prolapse
Clinical
Pelvic organ prolapse Native repair Transvaginal mesh
Urogynaecologists and Urologists with an activity in vaginal prolapse surgery

There has been intense debate about the use of synthetic meshes in vaginal prolapse surgery given the existence of a highly efficient alternative, which is traditional native tissue repair. Although a graft inlay seems to reduce the risk of recurrence, a main complication related to its use is erosion in the vagina. In 2011, after the FDA warning, many transvaginal meshes were voluntarily withdrawn from the market under economic and juridical pressure and the debates were increasingly dominated by emotion rather than scientific facts. Although there is a decrease in the use of meshes, there has been significant improvement in the quality of material with promising results in the hands of skilled surgeons familiar with traditional techniques