Women commonly experience pelvic floor damage during pregnancy and vaginal childbirth and later develop stress urinary incontinence and prolapse. Polypropylene mesh can repair abdominal hernias, but complications result when used in the female pelvic floor. In October, the Royal Society hosted a workshop to address issues surrounding pelvic floor disorders.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
Complications related to use of mesh implants in surgical treatment of stress urinary incontinence and pelvic organ prolapse: infection or inflammation?
World Journal of Urology Open Access 13 February 2019
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Wu, J. M. et al. Forecasting the prevalence of pelvic floor disorders in U.S. women: 2010 to 2050. Obstet. Gynecol. 114, 1278–1283 (2009).
Memon, H. U. & Handa, V. L. Vaginal childbirth and pelvic floor disorders. Womens Health 9, 265–277 (2013).
Wang, R. et al. Diabetes, glycemic control, and urinary incontinence in women. Female Pelvic Med. Reconstr Surg. 21, 293–297 (2015).
de Sam Lazaro, S. et al. Obesity and pelvic floor dysfynction: battling the bulge. Obstet. Gynecol. Surv. 71, 114–125 (2016).
Jelovsek, J. E. et al. Pelvic organ prolapse. Lancet 369, 1027–1038 (2007).
Food and Drug Administration. Obstetrical and gynecological devices; reclassification of surgical mesh for transvaginal pelvic organ prolapse repair; final order. Fed. Regist. 81, 353–361 (2016).
Tran, C. & Damaser, M. S. Stem cells as drug delivery methods: application of stem cell secretome for regeneration. Adv. Drug Deliv. Rev. 82–83, 1–11 (2015).
Chapple, C. R. et al. Consensus Statement of the European Urology Association and the European Urogynaecological Association on the use of implanted materials for treating pelvic organ prolapse and stress urinary incontinence. Eur. Urol. 72, 424–431 (2017).
Roman, S. et al. Evaluating alternative materials for the treatment of stress urinary incontinence and pelvic organ prolapse — a comparison of the in vivo response to meshes of polypropylene, polyvinylidene fluoride, poly-lactic acid and polyurethane implanted in rabbits for 3 months. J. Urol. 196, 261–269 (2016).
Manodoro, S. et al. Graft-related complications and biaxial tensiometry following experimental vaginal implantation of flat mesh of variable dimensions. BJOG 120, 244–250 (2013).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Additional information
Author contributions S.M. wrote the manuscript and S.E., G. E., and M.S.D. reviewed and edited the manuscript before submission.
Rights and permissions
About this article
Cite this article
MacNeil, S., El Neil, S., Esegbona, G. et al. Repairing the female pelvic floor: when good enough is not good enough. Nat Rev Urol 15, 197–198 (2018). https://doi.org/10.1038/nrurol.2017.219
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrurol.2017.219
