Transvaginal Mesh Implants: Surgery

Department of Health written question – answered on 23rd June 2015.

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Photo of Jim Shannon Jim Shannon Shadow DUP Spokesperson (Health), Shadow DUP Spokesperson (Transport), Shadow DUP Spokesperson (Equality)

To ask the Secretary of State for Health, if he will take steps to promote the availability of sacrohysteropexy as an alternative to hysterectomy in the NHS.

Photo of George Freeman George Freeman The Parliamentary Under-Secretary of State for Business, Innovation and Skills, The Parliamentary Under-Secretary of State for Health

In January 2009, the National Institute for Health and Care Excellence (NICE) published an interventional procedure guidance (IPG282) on the insertion of mesh uterine suspension sling (including sacrohysteropexy) for uterine prolapse repair.

The guidance found that the evidence on the safety and efficacy of the procedure was inadequate in quantity and recommends it should only be used with special arrangements for clinical governance, consent and audit or research.

Where uterine prolapse repair is needed, surgeons and patients should discuss the range of options, including sacrohysteropexy where it is clinically appropriate, in line with the NICE guidance.

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