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Obstetrics and Gynecology International
Volume 2012, Article ID 672356, 4 pages
Clinical Study

Is Mesh Becoming More Popular? Dilemmas in Urogynecology: A National Survey

1Edith Wolfson Medical Center, 62 HaLohamim Street, P.O. Box 5, Holon 58100, Israel
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
3Department of Obstetrics and Gynecology, Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Rambam Health Care Campus, 6 Ha'Aliya Street, P.O. Box 9602, Israel

Received 14 July 2011; Revised 13 September 2011; Accepted 19 September 2011

Academic Editor: Kimberly Kenton

Copyright © 2012 Alexander Condrea et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The use of vaginal mesh in pelvic organ prolapse (POP) repair surgery has become more common in recent years. The purpose of the current study was to evaluate the common practice of Israeli urogynecologists, and to determine whether surgical practice has changed over the last two years. Methods. In 2009 and again in 2011, a survey was mailed to all urogynecologists affiliated with an academic institute in Israel. The survey consisted of 7 Likert-scale items and 3 open questions; the latter inquired about preferred type of surgery in three clinical scenarios. Results. Of 22 practitioners, 15 responded to the survey. The number of urogynecologists who reported using vaginal mesh for the repair of primary POP increased from 47 to 67% from 2009 to 2011. The number who would not use vaginal mesh in POP repair of elderly patients dropped from 60 to 3%. Finally, for the treatment of a 35-year-old patient with stage III uterine prolapse who desired to preserve fertility, 13% recommended the used vaginal mesh in 2009 compared with 47% in 2011. Conclusion. A survey of practitioners shows that the use of vaginal mesh for the repair of primary and recurrent pelvic organ prolapse has become more common among Israeli urogynecologists.