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Vaginal mesh expert: Lack of robust response in Wales

Vaginal mesh expert: Lack of robust response in Wales
From BBC - September 14, 2017

A leading clinician has criticised what he calls a lack of "robust" action in Wales over the use of vaginal mesh.

Dr Wael Agur, who has advised the English and Scottish governments, supports calls to ban mesh for vaginal prolapse.

Following reviews, Scotland and England now do not routinely recommend it for such surgery.

Wales' chief medical officer said it had "systems and structures" to get the same outcome without the same action.

Dr Agur said: "I have seen little from the Welsh Government. There does not seem to be continuing participation in the mesh groups.

"And there does not seem to be a robust view on the benefits and risk of these procedures - and that surprises me."

He said it was particularly surprising, given it was leading urologists and urogynaecologists in Wales who had conducted what he considered one of the best studies in the area.

Mesh implants, which include different types of plastic tape and slings, are used to ease incontinence and to support organs such as the vagina, uterus, bowel, bladder or urethra which have prolapsed after childbirth.

Some have caused painful and debilitating complications for patients, with hundreds of UK women launching a legal action against the NHS.

The polypropylene meshes are still prescribed on the NHS across the UK, however recent reviews in England and Scotland said they should not be routinely used for pelvic organ prolapse.

'It's just torture'

Grandmother Jemima Williams, 57, of Barry, Vale of Glamorgan, said she often struggles to get out of bed due to complications arising from a vaginal implant for a prolapse.

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