Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair (IPG284)
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair.
NICE was notified of various procedures for the treatment of pelvic organ prolapse. NICE asked the Review Body for Interventional Procedures to undertake a systematic review of these procedures.The Interventional Procedures Advisory Committee (IPAC) considered the systematic review and have also produced guidance on: sacrocolpopexy using mesh for vaginal vault prolapse repair, infracoccygeal sacropexy using mesh for vaginal vault prolapse repair, infracoccygeal sacropexy using mesh for uterine prolapse repair and insertion of uterine suspension sling (including sacrohysteropexy) using mesh for uterine prolapse repair.
Uterine prolapse occurs when the womb (uterus) slips down from its normal position into the vagina. Sacrocolpopexy is an operation involving the insertion of a piece of material (mesh) with the aim of holding the pelvic organs in place, following surgical removal of the womb.
An OPCS-4 code from one of the following categories is assigned:
Q07.- Abdominal excision of uterus
Q08.- Vaginal excision of uterus
The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. www.connectingforhealth.co.uk/clinicalcoding
- IPG284 Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair: guidance (web format)
- IPG284 Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair: consultation comments
- A systematic review of the efficacy and safety of using mesh or grafts in surgery for uterine or vaginal vault prolapse
This page was last updated: 04 April 2011
- Web format
- Full Guidance (PDF)
- IPG284 Trin llithriad y groth drwy sacrocolpopecsi rhwyll gyda hysterectomi: deall canllawiau NICE (fformat MS Word)
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