AUGS/IUGA Scientific Meeting 2019-Panel: Midurethral Sling - Pursuing Evidence Based Practice in the World of Litigation and Regulation

Panel: Midurethral Sling - Pursuing Evidence Based Practice in the World of Litigation and Regulation

Video Transcription

Video Summary

In this video, a panel discusses the use of midurethral slings in medical practice and the complications associated with them. The panel includes Professor Duckett from Kent in England, Professor Brown from Australia, Dr. Reardon from Rhode Island, and Karl Tamasino from Austria. They start by discussing the history of midurethral slings and their popularity despite lacking long-term data. They mention that randomized studies came out after the procedure had already gained popularity in the market. They also highlight the importance of differentiating between safe midurethral slings and those that have caused infections and other complications. They then move on to talk about the current situation in German-speaking countries, where both transvaginal mesh and midurethral slings are still widely available. They discuss the ban on midurethral slings in the UK and the problems associated with reversing the ban, as well as the current situation in Australia, where midurethral slings are still available with fully informed consent. The panel also talks about the need for better evidence and monitoring of complications associated with midurethral slings, and they mention the establishment of specialist centers for the management of mesh complications in Queensland, Australia. They also mention the need for international collaboration to gather more data and evaluate treatment outcomes.

Asset Caption

Jonathan Duckett, MD, FRCOG, Bernadette Brown, MBCHB, FRANZCOG, Charles R. Rardin, MD, FACOG, FACS

Keywords

midurethral slings

complications

panel discussion

history

randomized studies

infections

transvaginal mesh

UK ban

specialist centers