Pelvic mesh complications and care pathways
Treatment options for complications of pelvic mesh
The Queensland Pelvic Mesh Service provides an interdisciplinary service for women experiencing complications with pelvic mesh products.
The Australian Commission on Safety and Quality in Health Care has developed consumer information resources to assist women considering treatment options for mesh complications (including options for removal).
Treatment options for pelvic organ prolapse or stress urinary incontinence
The Australian Commission on Safety and Quality in Health Care (ACSQHC) has developed information resources to support treatment of pelvic organ prolapse or stress urinary incontinence.
For consumers
For clinicians
- Care pathway for general practitioners for the management of pelvic organ prolapse
- Care pathway for general practitioners for the management of urinary incontinence
- Surgical care pathway for the management of pelvic organ prolapse
- Surgical care pathway for the management of urinary incontinence
Information for General Practitioners (GPs) – Webinars
The Queensland Pelvic Mesh Service (QPMS) provides interdisciplinary care to women who have experienced pelvic mesh complications, including chronic pelvic pain, mesh exposure, infection, bleeding, dyspareunia, incontinence, bladder or bowel perforation, and difficulty sitting or walking.
The following information is recorded from the “Everything you need to know about pelvic mesh management – webinar for general practitioners” recorded on the 22 October 2022.
- Introduction of QPMS and the team, referral criteria, process of accepting referrals, triaging, patient journey
- Consumer story on pelvic mesh complication
- Surgical perspective - Assessment of mesh related complications, clinical care pathways
Advice for viewers – this presentation contains medical illustrations/images of surgical procedures - Allied health perspective - Assessment and management of patients with pelvic mesh related complications
- Pharmacist perspective - Assessment and management of medications prescribed when treating patients with pelvic mesh related complications
Information for viewers – Not all medication suggestions will be suitable for everyone. Any changes to medication regime should always be discussed with your doctor. - Pain speciality perspective - Assessment and management of pain or persistent pain in patients with pelvic mesh related complications
- Questions and Answer session
Informed consent: Pelvic mesh related procedures
Queensland Health has revised and developed consent forms for transvaginal mesh related procedures in response to the Senate Inquiry Report and to align with the ACSQHC consumer information resources. The links to the informed consent forms are below:
- Abdominal Sacrocolpopexy with mesh
- Transobturator Route (TOR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy Consent
- Retropubic Route (RPR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy Consent
Credentialing of senior medical practitioners
- Credentialing of Senior Medical Practitioners to Undertake Transvaginal Mesh Implant Surgery for Stress Urinary Incontinence
- Credentialing of Senior Medical Practitioners to Undertake Transvaginal Mesh Implant Surgery for Pelvic Organ Prolapse
- Credentialing of Senior Medical Practitioners to Undertake Transvaginal Mesh Implant Removal Surgery