This systematic review was conducted as part of the HSRU Review Body for Interventional Procedures (ReBIP) project supported by theNational Institute for Health and Clinical Excellence (NICE) Interventional Procedures Programme
Based on the information provided in this review on the safety and efficacy of sacrocolpopexy using mesh for vaginal vault prolapse repair, the Committee found that the evidence appeared to be adequate to support the use of this procedure provided that normal arrangements were in place for clinical governance and audit (sacrocolpopexy using mesh for vaginal vault prolapse repair, IPG283).
However, the review also provided evidence for four other surgical procedures using mesh in women with uterine or vault prolapse surgery:
- sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair IPG284
- insertion of uterine suspension sling (including sacrohysteropexy) using mesh for uterine prolapse repair IPG282
- infracoccygeal sacropexy using mesh for uterine prolapse repair, IPG280
- infracoccygeal sacropexy using mesh for vaginal vault prolapse repair, IPG281
In all four cases, the Committee found that the current evidence on the safety and efficacy was inadequate in quantity and quality. Therefore these procedures should only be used with special arrangements for clinical governance, consent and audit or research. Partly in response, the HSRU / CHaRT trial VUE was funded to provide this evidence.
Cathryn Glazener; firstname.lastname@example.org (member of review team)
Jia X, Glazener C, Mowatt G, Jenkinson DJ, Fraser C, Bain C, Burr JM. Systematic review of the efficacy and safety of using mesh in surgery for uterine or vaginal vault prolapse. Int Urogynecol J Pelvic Floor Dysf 2010;21(11):1413-31.