Western Mail

Updated guidance on use of surgical mesh ‘to be delayed’

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UPDATED guidance on the use of mesh in surgical procedures is set to be delayed, it has been revealed.

The National Institute for Health and Care Excellence (NICE) sent an email to campaign group Sling the Mesh to confirm it has pushed back its guidelines on surgical mesh from February 2019 to April 2019.

Plastic meshes, which are typically made of polypropyl­ene, support organs such as the vagina, uterus, bowel, bladder or urethra.

They are most commonly used by surgeons to treat pelvic organ prolapse and incontinen­ce in women, conditions that can commonly occur after childbirth.

But some women have reported severe and constant abdominal and vaginal pain following the surgery, while others have experience­d incontinen­ce, infections and bleeding.

The All Party Parliament­ary Group (APPG) on Surgical Mesh Implants has been calling for better support for mesh-injured women, together with Sling the Mesh.

It is calling for the suspension of mesh and a full investigat­ion into its use through a retrospect­ive and prospectiv­e audit of mesh surgery.

Commenting on the delay, chairman of the APPG, Owen Smith MP, said: “I’m deeply disappoint­ed to learn that NICE have delayed the publishing of their guidelines on mesh despite repeated calls from the APPG to update them as a matter of urgency. As we’ve seen from the recent NHS audit into mesh, the government’s own statistics vastly underestim­ate the problems caused by mesh.

“It is imperative that NICE brings forward their guidelines on mesh and suspends its use until we have a proper understand­ing of the risks of mesh.”

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