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Complex mesh service

Published on 24 November 2020

The Complex Mesh Surgical Service hosted by NHS Greater Glasgow and Clyde was nationally designated in August 2020.

The service is for women who are considering specialist surgical mesh removal.

What is the Complex Mesh Surgical Service?

From the late 1990s to 2018 women in Scotland were treated with polypropylene mesh implants.

Mesh implants were used to treat:

  • stress urinary incontinence
  • pelvic organ prolapse

Unfortunately, some women develop complications from vaginal mesh surgery including:

  • vaginal exposure of the mesh
  • erosion (perforation) of the mesh into the urinary tract or bowel
  • infection
  • chronic pain
  • fistulae
  • mesh shrinkage
  • nerve or vascular injury
  • sexual difficulties such as pain during intercourse

The service provides:

  • multidisciplinary team (MDT) assessment
  • surgical intervention
  • post-operative care
  • post-surgery follow-up

Local health boards provide ongoing management with support from the specialist surgical centre.

The aim of the specialist service is:

  • to build on the First Do No Harm Cumberlage (2020) report to provide holistic care
  • to support women through MDT assessment and decisions on surgical management for complications from mesh insertion (vaginally or abdominally) for urinary incontinence and prolapse

Lead clinician

Karen Guerro, Consultant Surgeon


Royal Hospital for Children
1345 Govan Road
G51 4TF

NSD contact

Programme Associate Director, Roseanne McDonald– – 0131 275 6337