There are a number of non-surgical options for both urinary incontinence and pelvic organ prolapse, which should be considered before surgery. The non-surgical options for urinary incontinence include lifestyle interventions, physical therapies, behavioural therapies and medicines. Non-surgical options for pelvic organ prolapse include lifestyle modification, topical oestrogen, pelvic floor muscle training and pessary management.
Surgical interventions using surgical mesh/tape should only be considered when other non-surgical options have failed or are not possible. A national database should be set up to record all procedures involving the use of surgical mesh/tape in operations for stress urinary incontinence or pelvic organ prolapse to help with future decision making.
Expected publication date of the NICE Guidance is April, 2019. The consultation closes on November 19, 2018.
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