{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:26:37Z","timestamp":1740104797186,"version":"3.37.3"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T00:00:00Z","timestamp":1581984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Pelvic organ prolapse (POP) is a very prevalent condition with a great impact on women's quality of life. At present, there is great controversy regarding the use of mesh in POP surgery. To understand the current moment, it is advisable to make a brief summary of the historical evolution of mesh use for pelvic floor pathology. The aim of this paper is to establish the position of the Ibero\u2010American Society of Neurourology and UroGynecology (SINUG for its acronym in Spanish) regarding vaginal mesh reconstructive surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A working committee from the SINUG's scientific board performed a literature search about the use of vaginal meshes for pelvic organ prolapse reconstructive surgery and about the position of different societies. We analyzed the evolution into three periods: before the Food and Drug Administration (FDA) statement, FDA statement, and after the statement. SINUG drew up a position statement regarding vaginal mesh reconstructive surgery, based on the available scientific evidence and the evolution of its use in different contexts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Before mesh appearance in the 1990s, native tissue repair was the surgical treatment of choice for POP. Vaginal mesh reconstructive surgery has been frequently accompanied by procedure underestimation by inexperienced surgeons, besides inadequate diagnoses and indications. This situation led to the presentation of serious complications including mesh extrusion, exposure, and contraction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Once reviewed the available evidence and the position of different societies, SINUG presents its vision in this communication, which is a summary of the document prepared by the society's scientific board.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24309","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T12:25:43Z","timestamp":1582028743000},"page":"1020-1025","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Position of Ibero\u2010American Society of Neurourology and UroGynecology (SINUG) on the use of vaginal meshes in pelvic organ prolapse"],"prefix":"10.1002","volume":"39","author":[{"given":"Alicia","family":"Mart\u00edn\u2010Mart\u00ednez","sequence":"first","affiliation":[{"name":"Pelvic Floor Section, Gynecology and Obstetrics Service Hospital Materno\u2010Infantil de Canarias  Las Palmas de Gran Canaria Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8423-5717","authenticated-orcid":false,"given":"Carlos","family":"M\u00fcller\u2010Arteaga","sequence":"additional","affiliation":[{"name":"Reconstructive and Functional Urology Section, Urology Service University Hospital Ourense  Ourense Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Blasco\u2010Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Functional Urology Section, Urology Service University Hospital Valme  Sevilla Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8566-6033","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Padilla\u2010Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Functional Urology Section, Urology Service, Hospital Universitario de Canarias Universidad de La Laguna  Tenerife Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Mart\u00ednez\u2010Garc\u00eda","sequence":"additional","affiliation":[{"name":"Functional Urology, Urology Service Clinic Hospital  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0284-6937","authenticated-orcid":false,"given":"Carlos","family":"Errando\u2010Smet","sequence":"additional","affiliation":[{"name":"Female and Functional Urology Section, Urology Service Fundaci\u00f3 Puigvert  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Vicente\u2010Palacio","sequence":"additional","affiliation":[{"name":"Functional Urology Section, Urology Service Corporaci\u00f3n Sanitaria Parc Taul\u00ed  Sabadell Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Cruz","sequence":"additional","affiliation":[{"name":"Department of Urology Sao Joao Hospital  Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Castro\u2010D\u00edaz","sequence":"additional","affiliation":[{"name":"Functional Urology Section, Urology Service, Hospital Universitario de Canarias Universidad de La Laguna  Tenerife Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"L\u00f3pez\u2010Fando","sequence":"additional","affiliation":[{"name":"Functional and Reconstructive Urology Section, Urology Service Hospital Ram\u00f3n y Cajal  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Ros\u2010Cerro","sequence":"additional","affiliation":[{"name":"Ginecological Echography Section, ICGON Clinic Hospital  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1224-9423","authenticated-orcid":false,"given":"Salvador","family":"Arlandis\u2010Guzm\u00e1n","sequence":"additional","affiliation":[{"name":"Functional and Reconstructive Urology Section, Urology Service HU La Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montserrat","family":"Espu\u00f1a\u2010Pons","sequence":"additional","affiliation":[{"name":"Pelvic Floor Section, ICGON Clinic Hospital  Barcelona 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