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中华妇幼临床医学杂志(电子版)

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2025, Vol. 21 ›› Issue (03): 257 -265. doi: 10.3877/cma.j.issn.1673-5250.2025.03.002

Standard·Proposal·Guideline

Key points interpretation of the Diagnosis and Management of Complications Following Pelvic Organ Prolapse Surgery Using a Synthetic Mesh: French National Guidelines for Clinical Practice

Shurui Yang, Can Luo, Xiaoyu Niu†()   

  1. Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610044, Sichuan Province, China
  • Received:2025-03-22 Revised:2025-05-19 Published:2025-06-01
  • Corresponding author: Xiaoyu Niu
  • Supported by:
    National Key Research and Development Program of China(2021YFC2009100); Project of Health Commission of Sichuan Province(21ZD002); Project of Science and Technology Department of Sichuan Province(2023YFS0024)
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With the global aging trend intensifying, the incidence of pelvic organ prolapse (POP) is rising annually, profoundly impacting the physical and mental health and quality of life of female patients. Surgery is currently the primary treatment for severe POP. Mesh is widely used in POP surgery, yielding satisfactory outcomes in both long-term and short-term follow-up clinical studies. While complications related to mesh in POP surgery are not common, they can be severe and significantly reduce the postoperative quality of life for POP patients. Previous domestic and international relevant guidelines and expert consensus, such as Chinese Expert Consensus on the Diagnosis and Treatment of Mesh or Sling Exposure Complications After Pelvic Floor Reconstructive Surgery, mainly focus on the identification and treatment of mesh exposure. In 2024, the French National Health Authority published the world′s first clinical practice guidelines on the management of postoperative mesh complications in POP, which was Diagnosis and Management of Complications Following Pelvic Organ Prolapse Surgery Using a Synthetic Mesh: French National Guidelines for Clinical Practice (hereinafter referred to as " This Guideline" ). This Guideline is a clinical practice guideline for the management of mesh-related complications after POP surgery, filling the gap of the lack of systematic and comprehensive guidelines and expert consensus on the management of mesh-related complications after POP surgery. The authors intend to provide a professional interpretation of the key points of The Guidelines regarding mesh-induced complications of the urinary system and anorectal system after POP surgery and their management; mesh exposure after POP surgery, mesh-induced infection-related complications and their management; mesh-induced postoperative pain, postoperative sexual difficulties, bleeding and hematoma, vaginal wall injury complications and their management, etc., aiming to provide guidance and reference for Chinese clinicians to manage postoperative complications of POP surgery using mesh.

Key words: Pelvic organ prolapse, Mesh, Postoperative complications, Diagnosis, Clinical governance, Practice guideline
图1 POP术后患者阴道聚丙烯网片暴露的处理流程图注：POP为盆腔脏器脱垂。MDT为多学科协作诊疗
图2 POP术后患者阴道聚酯网片暴露的处理流程图注：POP为盆腔脏器脱垂。MDT为多学科协作诊疗
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