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AUGS Issues Statement Opposing The Restriction Of Surgical Options For Pelvic Floor Disorders
Date:3/26/2013

WASHINGTON, March 26, 2013 /PRNewswire-USNewswire/ -- The American Urogynecologic Society (AUGS), the leading professional organization dedicated to the treatment of pelvic floor disorders, issued a position statement today strongly opposing restrictions that ban surgical options for the treatment of pelvic organ prolapse (POP), including transvaginal surgical mesh cleared for use by the U.S. Food and Drug Administration (FDA). Individualized treatment decisions should be made between patients and their surgeons, with the goal of providing the patient with the best, most effective therapy based on each patient's specific clinical need.

POP is a condition that occurs when the normal support of the vagina is lost, resulting in sagging or dropping of the vagina, uterus, bladder and rectum. As the prolapse of the vagina and uterus progresses, women can feel bulging tissue protruding through the opening of the vagina. The FDA first cleared the use of transvaginal surgical mesh for the treatment of POP in 2002. During such surgeries, a piece of synthetic mesh is implanted through the vagina to support the prolapsed organs.  

In July 2011, the FDA released a safety communication and white paper on transvaginal surgical mesh to highlight the potential benefits and risks associated with this therapy. Since that time, a few groups including a state medical organization, a healthcare system and a malpractice insurance company have considered restricting or have banned its use.  Such restrictions were never the intent of the FDA safety communication nor do they represent the findings of the FDA Advisory Panel.

"Women should have all treatment options made available to them. The decision of what surgical option is right for a patient should be left between the patient and her surgeon without outside interference or limitations," said Anthony G. Visco , M.D., Division Chief of Urogynec
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SOURCE American Urogynecologic Society
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