Table 3.

Recommendations for the safe and effective use of vaginal mesh for repair of POP.

Outcome reporting for prolapse surgical techniques must clearly define success both objectively and subjectively. Complications and total reoperation rates should be reported as outcomes
POP vaginal mesh repair should be reserved for high-risk individuals in whom the benefit of mesh placement may justify the risk
Surgeons should undergo training specific to each device and have experience with reconstructive surgical procedures and a thorough understanding of pelvic anatomy
Compared to existing mesh products and devices, new products should not be assumed to have equal or improved safety and efficacy unless long-term data are available
ACOG and AUGS support continued audit and review of outcomes as well as the development of a registry for surveillance for all current and future vaginal mesh implants
Rigorous comparative effectiveness randomized trials of synthetic mesh and native tissue repair and long-term followup are ideal
Patients should provide their informed consent after reviewing the risks and benefits of the procedure as well as discussing alternative repairs

Adapted from ACOG/AUGS [26].