Methods: An international author team reviewed available published literature.
Results: This paper reviews the current training situation and recognizes there are no fellowships globally which specifically train in mesh removal/ complications. The UK has recently launched a mesh complications training pathway pilot. New Zealand has recently implemented a credentialing framework for pelvic floor procedures including mesh removal and undertaken national credentialing of surgeons. A proposed training pathway is outlined including training sequence, the training setting, and a modular pathway of training.
The authors acknowledge that there is very limited research and evidence for management of mesh complications. Several important research questions are suggested for future research. Future projects for collaborative research are proposed including registries, and development of improved patient education materials for pelvic floor conditions to improve shared decision making.
Eva Fong,1 Siobhan M. Hartigan,2 Roger Dmochowski,3 Charlotte Korte,4 Nicolle Germano,5 Sherif Mourad,6 Hashim Hashim7
- Te Whatu Ora Waitemata, Auckland, New Zealand
- Department of Urology, Vanderbilt University Medical Center, Hunterdon Urological Associates, Flemington, NJ, USA
- Department of Urology, Vanderbilt University Medical Center, Nashville, TN, USA
- Health Consumer Advocacy Alliance, Auckland, New Zealand
- Queensland Pelvic Mesh service, Gold Coast, Australia
- Department of Urology, Ain Shams University Faculty of Medicine, Cairo, Egypt
- Bristol Urological Institute & University of Bristol, United Kingdom