As I’ve talked about in the past, in April of this year, the FDA released a new statement on mesh and vaginal surgery and not surprisingly it is generating an incredible amount of questions. With that in mind, I thought I would highlight a few of the most relevant articles on the subject.
Let’s start with the actual FDA warning here. It ordered manufacturers of surgical mesh intended for transvaginal repair of anterior compartment prolapse (cystocele) to stop selling and distributing their products. Note that this order only applies to mesh for transvaginal cystocele repairs.
And that is important because surgical mesh for stress urinary incontinence is still legal. Here is the American Urological Association’s position paper on that subject.
If you’re curious how the lay press is covering the FDA’s statement, here is an article from CNN on the FDA’s statement.
And here is a great article from the NY Times about how certain unethical doctors are responding to the FDA’s order.
But if you really want to understand the FDA’s order and its implications for urology, this is by far the best article I’ve read.
I realize this is a confusing topic and so if anyone has questions which these articles don’t answer, please call my office for an appointment and I’ll be glad to explain the status of mesh. As a warning, though, I have not used mesh in my practice for over 5 years and do not remove mesh but I can certainly put you in contact with other highly experiences surgeons in town who do.