Care pathways for transvaginal mesh

28 November 2018

The Australian Commission on Safety and Quality in Health Care has released three care pathways for the management of POP, SUI and mesh complications . Each pathway provides clinicians with an evidence–based approach to first line management, specialised surgical and non-surgical care of women who present with these conditions, and information on the types of medical specialists to which women may be referred. All pathways include a component for general practitioners (GPs), and have been designed to facilitate alignment with the HealthPathways, used by a number of Primary Health Networks to support the discussions between women and their GPs.

There are surgical pathways for POP and SUI that use a traffic light approach (red, yellow, green) to identify options for surgical treatments, based on the strength of evidence and potential patient outcomes for each type of procedure. An interactive version of the POP and SUI pathways is available on the Commission’s website.

The care pathways, the consumer information resources and other guidance developed by the Commission on the use and removal of transvaginal mesh are also available on the Commission’s website. The other resources include guidance for hospital credentialing of senior medical practitioners to implant and remove mesh for treatment of POP and SUI and a service model framework for transvaginal mesh implantation, mesh complications and mesh removal services.




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