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Updated: Feb 15, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Foundation for an evidence-informed algorithm for treating pelvic floor mesh complications: a review
G W Cundiff1, D J Quinlan1, J A van Rensburg2
1Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.
Abstract:
To address evidence gaps on the management of complications related to mesh in pelvic floor surgery, we created an evidence-based algorithm that includes defining evidence gaps. We utilized the Delphi method within a panel of surgeons treating mesh complications to define a treatment strategy. The first round provided a list of clinically based postulates that informed a review expanding postulates to recommendations and included grading of the quality of evidence. A second round informed the final algorithm. While the quality of the available evidence is low, it provides a framework for planning diagnosis and management of mesh-related complications.
Tweetable Abstract:
Removal of mesh must balance resolution of complications with the risk of removal and recurrence of pelvic floor symptoms.
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