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

ology at Duke University Medical Center in Raleigh-Durham, N.C., and President of AUGS.  "A ban on mesh would have a chilling effect on research in this area and would severely limit the advancement of science and future innovations that could significantly help women."

The AUGS position statement notes that it is essential for patients and their surgeons to have access to a full range of both non-surgical and surgical options and to have an open discussion during the informed consent process regarding the likely benefits as well as the potential risks of all options.  In some instances, transvaginal mesh for POP may be the most appropriate surgical option, such as in high-risk patients with recurrent prolapse or those with medical conditions where a more invasive and lengthier procedure may be more dangerous.

AUGS is the leading professional organization dedicated to the treatment of pelvic floor disorders, especially POP and stress incontinence, and its members are working closely with the FDA, the National Institutes of Health (NIH) and the American College of Obstetrics and Gynecology (ACOG) to develop robust mechanisms to continue to monitor the safety and effectiveness of transvaginal surgical mesh.  

AUGS recently developed two credentialing guidelines for POP procedures, one for transvaginal mesh surgery and the other for sacrocolpopexy.  These guidelines encourage hospitals and health systems to establish processes to credential and audit surgeons who perform these types of urogynecologic procedures. To achieve the best clinical outcome, it is important that surgeons are properly trained in these procedures. The AUGS credentialing guidelines provide specific recommendations for surgical training and ongoing maintenance of skills.

In addition to adopting the credentialing guidelines at the local and state levels, AUGS recommends the following over-arching strategies:


    SOURCE American Urogynecologic Society
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