Patient Information

General

• Obesity - Effect on the pelvic floor and risk for surgery

Prolapse

Prolapse of the vaginal wall

• Anterior repair
• Posterior repair

Prolapse of the vaginal vault (top of the vagina after hysterectomy)

• NEW Operations to treat vaginal vault prolapse
• Patient decision aid about choice of procedure for vaginal vault prolapse (NICE)
• Sacrocolpopexy for Vaginal Vault Prolapse
• Sacrospinous fixation (SSF) for prolapse of the uterus (womb) or prolapse of the vaginal vault (top of vagina)
• Colpocleisis (closing the vagina to treat prolapse)

Prolapse of the uterus (womb)

• Operations to treat uterine prolapse
• Patient decision aid about choice of procedure for prolapse of the uterus (NICE)
• Vaginal hysterectomy for uterine prolapse
• Sacrohysteropexy for Uterine Prolapse (Womb Prolapse)
• Sacrospinous fixation (SSF) for prolapse of the uterus (womb) or prolapse of the vaginal vault (top of vagina)
• Manchester repair for uterine prolapse
• Colpocleisis (closing the vagina to treat prolapse)

Incontinence

Urgency incontinence / Overactive bladder

• Percutaneous Tibial Nerve Stimulation for Overactive Bladder Symptoms
• Botox injections to treat overactive bladder

Stress incontinence

There is currently a pause on the use of vaginal mesh tape to treat stress incontinence and so this procedure is unlikely to be available at present. Further information is available here

• Patient decision aid about choice of procedure for stress urinary incontinence (NICE)
• Synthetic Vaginal Mesh Tape Procedure for the Surgical Treatment of Stress Urinary Incontinence in Women
• Urethral bulking
• Colposuspension
• Autologous fascial sling

Patient Decision Aid for Treating Complications from Mesh used to treat Stress Urinary Incontinence. View PDF

Patient Decision Aid for Treating Complications from Mesh used to treat Pelvic Organ Prolapse. View PDF

Removal of a trans-obturator mesh sling or single incision mini-sling (Download PDF)

Removal of a retopubic mesh sling (Download PDF)

For Patients

Removal of Vaginal mesh for prolapse (Download PDF)

Removal of Abdominal mesh for Pelvic organ prolapse and rectal prolapse (Download PDF)

Mesh Complication Centres

These centres will provide management of continence and prolapse mesh complications, with the engagement of the multi-disciplinary team (MDT). This includes surgeons, physicians, imaging specialists, nurses, pain specialists, physiotherapists, and clinical psychologists

England

NHS England and NHS Improvement are responsible for commissioning specialised services for women with complications of mesh inserted for urinary incontinence and vaginal prolapse. Each specialised centre treats women with complex mesh for a geographical region local to them. The specialised Mesh Centres appointed by NHS England and NHS Improvement are:

• Cambridge University Hospital NHS FT
• Manchester University NHS FT
• Newcastle Upon Tyne Hospitals NHS FT
• Nottingham University Hospitals NHS Trust
• Sheffield Teaching Hospitals NHS FT
• University College Hospitals NHS FT
• University Hospitals of Leicester NHS Trust
• University Hospital Southampton NHS
• North Bristol NHS Trust

Scotland

The Complex Mesh Surgical Service hosted by NHS Greater Glasgow and Clyde (GG&C) is the nationally designated centre in Scotland for women with mesh complications. The GG&C service forms part of the UK network of centres and is recognised for its clinical expertise in this field. This service is located in:

• Queen Elizabeth University Hospital, Glasgow

Northern Ireland

The complex mesh centre in Belfast is the nationally designated centre for women with mesh complications. This Mesh Centre has a multidisciplinary team (MDT) of experts, to meet the needs of women from across Northern Ireland. All women with mesh complications who may require surgery are being referred to the Mesh Centre in Belfast Trust to ensure they receive a consistent service regardless of where they live in Northern Ireland. This service is located in:

• Belfast Health & Social Care Trust

RCOG (Royal College of Obstetricians and Gynaecolgists) patient information leaflets relating to urogynaecology

• Recovering well - Information for you after a mid-urethral sling operation for stress urinary incontinence
• Recovering well - Information for you after a pelvic-floor repair operation
• Recovering well - Information for you after a vaginal hysterectomy
• Understanding how risk is discussed in healthcare - information for you
• Pelvic organ prolapse - information for you

IUGA Patient Leaflets

IUGA has a range of different brochures many of which are available in other languages. Access the IUGA brochures here

Bladder and Bowel UK
Website: www.bbuk.org.uk

Bladder & Bowel Community
Website: www.bladderandbowel.org

Pelvic Obstetric and Gynaecological Physiotherapy (POGP)
Website: www.thepogp.co.uk/

The Cystitis & Overactive Bladder Foundation
Website: www.cobfoundation.org/

The Continence Foundation
Website: www.continence-foundation.org/uk

Education and Resources for Improving Childhood Continence (ERIC)
Website: www.eric.org.uk/

Mothers with Anal Sphincter Injuries in Childbirth (MASIC)
Website: masic.org.uk

Royal College of Obstetricians & Gynaecologists (RCOG)
Website: www.rcog.org.uk

Women's Health Concern
Confidential Advice, Reassurance and Education
Website: womens-health-concern.org

Continence Information and Resources on Treating Bladder & Bowel Incontinence
Website: www.canadiancontinence.ca

Patient Safety Commissioner
Website: www.patientsafetycommissioner.org.uk/

Please note, we are a membership society and we are unable to offer individual medical advice to the public or medical professionals.

0207 772 6211
 bsug@rcog.org.uk

c/o Royal College of Obstetricians & Gynaecologists
10-18 Union Street
LONDON
SE1 1SZ