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Sacrocolpopexy using mesh for vaginal vault prolapse repair

Guidance issued Guidance issued
 
Number: IPG283
 
Summary:

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 using mesh for vaginal vault prolapse repair.

It replaces the previous guidance on mesh sacrocolpopexy for vaginal vault prolapse (Interventional Procedures Guidance no. 215, March 2007).

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 uterine 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.

Description:
Vaginal vault prolapse occurs when organs above or around the vagina slip down from their normal position. Sacrocolpopexy is an operation that aims to provide support for the pelvic organs in their natural position. This is achieved by attaching a piece of material (mesh), usually from the top and back of the vagina, to a ligament of the lower back bone.
Arrangement:

Other (see guidance)

Topic Area:

Gynaecology, pregnancy and birth
Urogenital

Specialty:

Obstetrics and gynaecology

Specialist advice has been sought from:

Royal College of Obstetrics and Gynaecologists

British Association of Urological Surgeons

British Society of Urogynaecology

Date notified to NICE: 08 October 2004
Provisional consultation date: Autumn 2008
IP Pub Date: 28 January 2009
Contact Details:
Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


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