Mesh Madness: Where Are We Now on the Surgical Management of Incontinence and Prolapse?

Following a review of the evolution of surgical options for stress urinary incontinence, this lecture details the efficacy and safety issues of the various midurethral slings. The rationale for mesh use in pelvic organ prolapse repair, its efficacy, and the unique safety issues associated with its placement by a transvaginal route as well as the future directions for managing mesh use in urogynecologic procedures are discussed.

Contact hours available until 10/16/19.

Requirements for Successful Completion:

• Complete the learning activity in its entirety and complete the online CNE evaluation.
• You will be able to print your CNE certificate at any time after you complete the evaluation.

Conferences Committee Disclosures:

• Gina Powley, MSN, RN, ANP - Speakers bureau for Astellas
• Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, FAANP - Consultant – Coloplast
• Valre Welch, MSN, CPNP - Hollister Clinical Advisory Board

Speakers Conflict of Interest Disclosure:

• There are no disclosures to declare.

Commercial Support and Sponsorship:

• No commercial support or sponsorship declared.

Accreditation Statement:

The Society of Urologic Nurses and Associates (SUNA) is accredited as a provider of continuing nursing education by the American Nurses’ Credentialing Center’s Commission on Accreditation.

The SUNA accreditation is reciprocal in the states and specialty organizations that recognize the ANCC-COA accreditation process. SUNA is also a provider approved by the California Board of Registered Nursing, Provider Number CEP 5556.

Accreditation and approved provider status of CE in nursing does not imply ANCC-COA approval or endorsement of any product, advertising, or educational content. SUNA urges all participants to be aware of the CE requirements for re-licensure in the states in which they hold a license.

Learning Outcome:

• After completing this activity, the leaner will be able to explain the balance of efficacy and safety with the use of synthetic mesh used for the surgical treatment of stress urinary incontinence and pelvic organ prolapse.