The Rise and Fall of the Mesh

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I recently attended the 13th Annual Female Urology and Urogynecology Symposium (FUUS) that was held in Las Vegas, Nevada, from June 12 to 14, 2014. All subjects pertaining to female urological and pelvic floor disorders were discussed by leading authorities in those fields.

A lot of time was spent discussing  the subject of the use of mesh in urogynecological reconstructive pelvic surgery. After a period of frenzy in the early 2000’s about how wonderful the use of the mesh was in improving the outcome of female pelvic organ prolapse repair surgeries and in making those surgeries “easier”, reality set in a few years later as complications related to the use of all types of mesh surfaced and became common public knowledge thanks to an aggressive campaign by medical malpractice attorneys from coast to coast, advertising the complications caused by the mesh and soliciting patients who in the past had mesh placed in them to seek legal assistance to sue doctors and mesh manufacturers. Over 400 lawsuits have been filed nationwide against mesh manufacturers. In reaction to these developments, the use of mesh has declined by 70% since July 2011. Several mesh manufacturers have withdrawn from the market. The remaining ones have been placed under tight scrutiny by the FDA and are investing multi-millions of dollars in research to meet the new tough FDA requirements.

This move away from mesh is of no concern to the AUOC urologists. Armed with close to 60 combined years of experience in the medical and surgical management of all types of female incontinence and pelvic organ prolapse, the AUOC urologists have the necessary clinical and surgical skills to obtain excellent results while minimizing the use of mesh in those challenging pelvic reconstructive surgeries by relying more on the patient’s native tissues such as rectus fascia, various ligaments such as the sacrospinous and uterosacral ligaments, myocutaneous flaps, etc.

Please visit the AUOC website on Female Incontinence and Prolapse (  to learn more about the services offered by the  AUOC urologists in the field of female urology and urogynecology.