The use of synthetic mesh in vaginal prolapse surgery: a survey of Dutch urogynaecologists.

OBJECTIVE: To evaluate the use of mesh in vaginal prolapse surgery amongst members of the Dutch Urogynaecologic Society. STUDY DESIGN: A questionnaire evaluating the use of mesh vs. native tissue repair in vaginal prolapse surgery was sent out by email to all members. Some specific questions on standard measures of infection prevention were included. RESULTS: One hundred and thirty-three completed questionnaires were received. The response rate was 65%. Seventy-one percent of respondents stated that they apply use synthetic meshes in their patients. The mean percentage of mesh use in overall vaginal pelvic organ prolapse surgery was 14%. Most responders use mesh in recurrent surgery only. Prolift is the most commonly used brand. All women received prophylactic antibiotics. Although only half of the respondents changed gloves. CONCLUSIONS: Meshes are commonly used in the Netherlands. The major indication is repair of a recurrent prolapse