Use of vaginal mesh in the face of recent FDA warnings and litigation

Sara J. Mucowski, Catalin Jurnalov, John Y. Phelps

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


Choosing to use mesh in vaginal reconstructive surgery for pelvic organ prolapse or stress urinary incontinence is perplexing in the face of recent US Food and Drug Administration (FDA) warnings. In October 2008, the FDA alerted practitioners to complications associated with transvaginal placement of surgical mesh. Litigation is another concern. A Google search of "transvaginal mesh" results in numerous hits for plaintiff attorneys seeking patients with complications related to use of mesh. In light of a recent decision by the US Supreme Court and strategies by manufactures of medical devices to escape liability, it is imperative that gynecologic surgeons using transvaginal mesh document proper informed consent in the medical records. The purpose of this commentary is not to deter gynecologic surgeons from using transvaginal mesh when appropriate, but to provide an overview of current medical-legal controversies and stress the importance of documenting informed consent.

Original languageEnglish (US)
Pages (from-to)103.e1-103.e4
JournalAmerican journal of obstetrics and gynecology
Issue number2
StatePublished - 2010


  • informed consent
  • lawsuit
  • mesh
  • pelvic organ prolapse
  • stress urinary incontinence

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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