Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Intrauterine Drug Delivery Systems01:21

Intrauterine Drug Delivery Systems

27
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
27
External Female Genitals01:15

External Female Genitals

37.2K
The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more...
37.2K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

728
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
728

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Management of complications in reconstructive pelvic floor surgery].

Urologie (Heidelberg, Germany)·2025
Same author

Complications of Synthetic Midurethral Slings: Is There a Relevant Discrepancy Between Observational Data and Clinical Trials?

European urology focus·2023
Same author

Robot-Assisted Transvesical Enucleation of Benign Prostatic Hyperplasia: Lessons from a Single Surgeon's Learning Curve.

Urology practice·2023
Same author

[Use of synthetic slings and mesh implants in the treatment of female stress urinary incontinence and prolapse : Statement of the Working Group on Urological Functional Diagnostics and Female Urology of the Academy of the German Society of Urology].

Der Urologe. Ausg. A·2019
Same author

[Ins and outs in the surgical treatment of female stress urinary incontinence].

Der Urologe. Ausg. A·2019
Same author

Surgical treatment of large volume prostates: a matched pair analysis comparing the open, endoscopic (ThuVEP) and robotic approach.

World journal of urology·2018

Related Experiment Video

Updated: Feb 19, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

6.6K

[Implants for genital prolapse : Contra mesh surgery].

C Hampel1,2

  • 1Fachklinik für Urologie, Marienhospital Erwitte, Von-Droste-Str. 14, 59597, Erwitte, Deutschland. christian.hampel@dreifaltigkeits-hospital.de.

Der Urologe. Ausg. A
|November 10, 2017
PubMed
Summary

Transvaginal mesh procedures for pelvic organ prolapse (POP) are widespread but lack sufficient data, leading to higher complication rates. Patient symptom improvement, not just POP stage, should guide treatment decisions, with informed consent being crucial.

Keywords:
Pelvic floor augmentationPelvic organ prolapsePolypropylene meshProlapse surgeryStress incontinence

More Related Videos

Transvaginal Mesh Insertion in the Ovine Model
10:32

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

17.0K
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
03:30

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Published on: October 25, 2024

2.5K

Related Experiment Videos

Last Updated: Feb 19, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

6.6K
Transvaginal Mesh Insertion in the Ovine Model
10:32

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

17.0K
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
03:30

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Published on: October 25, 2024

2.5K

Area of Science:

  • Urogynecology
  • Surgical Innovation
  • Patient Safety

Background:

  • Alloplastic transvaginal meshes for pelvic organ prolapse (POP) and suburethral slings for stress incontinence are increasingly used without adequate supporting data.
  • The ease of mesh procedures leads to widespread adoption despite higher rates of revision and complications.
  • Loss of expertise in alternative surgical techniques due to reliance on mesh procedures poses risks for managing recurrence, persistence, or complications.

Purpose of the Study:

  • To critically evaluate the current use and supporting data for alloplastic transvaginal meshes in POP surgery.
  • To emphasize the importance of symptom-based treatment goals over solely focusing on POP stage.
  • To highlight the necessity of comprehensive patient information and informed consent regarding mesh procedures.

Main Methods:

  • Review of current literature and clinical practices regarding transvaginal mesh use in POP.
  • Analysis of complication and revision rates associated with mesh procedures.
  • Examination of adherence to established guidelines for patient information and consent.

Main Results:

  • Mesh procedures are propagated due to simplicity, often accepted with higher revision and complication rates.
  • There is a concerning trend of declining expertise in alternative POP surgical techniques.
  • Doubt exists regarding adequate informed consent for transvaginal mesh procedures, with mesh implantation numbers exceeding indicated cases.
  • International concerns, lawsuits, and warnings from urological societies contrast with the continued widespread use of meshes in some regions.

Conclusions:

  • The current widespread use of transvaginal alloplastic meshes in POP surgery is not adequately supported by data and is associated with significant risks.
  • Treatment decisions for POP should prioritize symptom improvement, with mesh use being carefully considered and alternatives preserved.
  • Obtaining specific written informed consent is strongly recommended for liability and ethical reasons.