Mesh mini slings cause “serious complications” and research into their use is “disappointing” says report by NICE

PUBLISHED: 17:39 21 June 2016 | UPDATED: 16:11 23 June 2016

Kath Sansom has launched a campaign against a gynaecology operation in which a TVT sling is used. Picture: HELEN DRAKE

Kath Sansom has launched a campaign against a gynaecology operation in which a TVT sling is used. Picture: HELEN DRAKE

Archant

A mesh sling surgically implanted to cure women suffering embarrassing leaks, usually caused by pregnancy, has been criticised for causing serious complications, pain and discomfort.

Sling The Mesh campaign logo. Artwork by MICHELLE DEYNA-HAYWARDSling The Mesh campaign logo. Artwork by MICHELLE DEYNA-HAYWARD

he National Institute for Health and Care Excellence, NICE, which sets guidelines for care in hospitals across Britain, said the mini sling should not be used unless there are proper plans in place for follow up care if things go wrong.

The report by NICE, which is still under consultation, said:

• Data collection on mini slings was “disappointing” and there needs to be further research and long term studies

• Mini slings should not be used unless there are special arrangements for following up a woman’s care

Elaine Holmes and Olive McIlory of Scottish Mesh SurvivorsElaine Holmes and Olive McIlory of Scottish Mesh Survivors

• If a surgeon implants mesh as part of a trial patients must be fully informed of “the uncertainty” over safety including the potential for “serious long term complications.”

• All women having mini slings must be added on a national register held with a professional body like the British Society of Urogynacology.

• Surgeons trialling mini slings must tell their NHS Trust bosses

The report has been welcomed by UK campaigners in Sling the Mesh and Scottish Mesh Survivors who are delighted that complication concerns are being taken seriously.

Sling the Mesh campaigner Kath Sansom said: “None of the mesh slings used today have been given long term human trials and none of them have been properly studied for the impact on how they can greatly impact on a woman’s quality of life with risks including, chronic infections, allergic reactions, pain walking, fibromyalgia and losing a sex life forever due to pain.”

Olive McIlroy of Scottish Mesh Survivors said: “The uncertainty about the procedure’s safety and efficacy speaks for itself.

“The potential for the procedure to fail and for serious long-term complications is an unacceptable risk for even one patient and merits an immediate cessation of this and similar pelvic polypropylene mesh procedures.

“The best thing NICE can do is introduce a mandatory independent registry to follow existing patients and then act on the long term data.

“All polypropylene mesh devices should be kept out of operating theatres, that would ensure patient safety.”

Mini sling trials began two years ago when Scotland suspended two other styles of plastic mesh sling in June 2014.

Scotland is waiting for its final report into mesh slings, due out this summer.

In the meantime, mini sling trials have begun in hospitals across England – locally trials are set to start at the Queen Elizabeth Hospital in King’s Lynn.

Across Britain hospital bosses look to NICE guidelines as the benchmark for how they run services and treat patients.

If a NICE report is critical then it is unlikely a hospital would wish to fly in the face of its recommendations.

The guidelines are currently in the consultation stage and are set to be approved in September 2016.

A spokesman for the MHRA said: “MHRA are aware of the NICE Interventional Procedure document currently out for public consultation on single-incision short sling (mesh) insertion for stress urinary incontinence in women.

“We note the provisional recommendations made and await publication of the final document.”

The mesh mini sling guidelines are currently in the consultation stage and are set to be approved in September 2016.

1 comment

  • Thank you for covering this! So many women are being told incorrect information, and think these "new" slings are safe. They are not.

    Report this comment

    Deb Cny

    Monday, April 10, 2017

The views expressed in the above comments do not necessarily reflect the views of this site

More news stories

11:48

Arsonists set fire to a disused building in Meadowgate Lane, Wisbech on Wednesday (27) afternoon.

10:14

Three people were taken to hospital - one with serious injuries and two with slight injuries - after a van rolled over into a ditch on the A1101 at Sutton Road near Wisbech.

Yesterday, 22:32

Maybe it’s the allowance (a handsome £7,000 and due to rise) or because you’ve responded to a ‘your party needs you’ call - but rarely have so many stood for so few.

Yesterday, 22:17

The county is set to go to the polling stations on May 4 to decide who will take the all-important seats at Cambridgeshire County Council for the next four years. Here are the candidates for the Chatteris division.

Most read stories

Most commented stories

HOT JOBS

Show Job Lists

Digital Edition

Image
Read the Wisbech Standard e-edition E-edition

Newsletter Sign Up

Sign up to receive our regular email newsletter