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Mesh Complications

Checked: 23-07-2022 by Vicky Ryan Next Review: 23-07-2024

Overview

As of 1 April, 2022, North Bristol NHS Trust has been designated as one of nine Specialised NHS England Complex Mesh Centres, supporting patients with mesh complications linked to urinary incontinence and vaginal prolapse in the South West.

These centres provide management of urinary incontinence and vaginal prolapse mesh complications, with the engagement of the multi-disciplinary team (MDT), which includes surgeons, physicians, imaging specialists, nurses, pain specialists, physiotherapists, and clinical psychologists in line with the published service specification.

The MDT of specialist clinicians is led by Professor Hashim, Consultant Urological Surgeon, and Mr. Madhu, Consultant Urogynaecologist.

Who to refer

Suspected complications following insertion of mesh for urinary incontinence or vaginal prolapse. This includes:

Incontinence meshes – retropubic, transobturator and single incision/mini slings
Vaginally placed mesh for pelvic organ prolapse including mesh “kits” and inlay mesh
Abdominally placed mesh for pelvic organ prolapse including sacrohysteropexy and sacrocolpopexy

Referrals will be triaged by the Clinical Lead(s) and invited to an outpatient appointment. They will be referred to selected members of the MDT as required, and each patient will be discussed at the monthly MDT meeting. An outpatient appointment will then be arranged with the patient to discuss and agree their treatment plan.

Patient information leaflets and decision aids:

https://bsug.org.uk/pages/for-patients/mesh-information-leaflets/156?_ga=2.180029219.640112923.1656318466-2064692389.1656318466

Referral

Please refer to Urogynaecology Mesh Complications via eRS (Urology) by completing the Mesh MDT referral form (also available as an EMIS template) and attaching copies of relevant clinic letters and investigations.

Service name on eRS:

Bristol Mesh Complications Specialist Service Urogynaecology RAS – Southmead – RVJ (search under directory of services - Urology - (in) continence)

Service ID on eRS: 7983744

To contact us:

Telephone: Lynda Bishop, MDT coordinator for the Bristol Mesh Specialist Service: 0117 414 0899

Email: bristolmeshserviceadmin@nbt.nhs.uk

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