Opinion Piece: The Mesh Controversy

Author(s): M. R. Robson, Physiotherapy Department, Lewisham Hospital, London, UK - Pages: 5-8

Abstract

The current controversy surrounding the use of mesh in gynaecological and general surgery is escalating at the time of writing, and looks set to be one of the biggest medical scandals of our generation. Pelvic health and musculoskeletal physiotherapists are both seeing patients with mesh-related complications who may be looking for a diagnosis, or seeking relief from pain and related symptoms. Pelvic health physiotherapists are likely to come across increasing numbers of women who have undergone removal of gynaecological mesh, and many of these individuals will experience the return of their symptoms of stress incontinence or pelvic organ prolapse (POP). Women with mesh complications, as well as those who are concerned about developing these problems in the future, are understandably angry and anxious. Both the landscape of healthcare, and the relationship between patients and healthcare professionals has altered, and will never be quite the same again. We need to adapt to these changing conditions in order to successfully restore confidence, and to support patients during their rehabilitation.

Keywords: complications, controversy, mesh, removal, surgery