Review – Incontinence
Consensus Statement of the European Urology Association and
the European Urogynaecological Association on the Use of
Implanted Materials for Treating Pelvic Organ Prolapse and
Stress Urinary Incontinence
Christopher
[1_TD$DIFF]
R. Chapple
a , * ,Francisco Cruz
b , c ,Xavier Deffieux
d ,Alfredo L. Milani
e ,Salvador Arlandis
f ,Walter Artibani
g ,Ricarda M. Bauer
h ,Fiona Burkhard
i ,Linda Cardozo
j ,David Castro-Diaz
k ,Jean Nicolas Cornu
l ,Jan Deprest
m, Alfons Gunnemann
n ,Maria Gyhagen
o ,John Heesakkers
p ,Heinz Koelbl
q ,Sheila MacNeil
r ,Gert Naumann
s ,Jan-Paul W.R. Roovers
t ,Stefano Salvatore
u ,Karl-Dietrich Sievert
v ,Tufan Tarcan
w, Frank Van der Aa
x ,Francesco Montorsi
y ,Manfred Wirth
z ,Mohamed Abdel-Fattah
aaa
Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom;
b
Department of Urology, Hospital Sa˜o Joa˜o/Faculty of Medicine of Porto,
Porto, Portugal;
c
I3S Institute for Health, Porto, Portugal;
d
Department of Gynaecologic Surgery, Antoine Be´cle`re Hospital, Paris South University, Clamart,
France;
e
Department of Obstetrics & Gynaecology, Reinier de Graaf Hospital, Delft, The Netherlands;
f
Department of Urology, La Fe University and
Polytechnic Hospital, Valencia, Spain;
g
Department of Urology, Azienda Ospedaliero Universitaria di Verona, Verona, Italy;
h
Department of Urology, Ludwig-
Maximilians-University Muenchen, Klinikum Großhadern, Muenchen, Germany;
i
Department of Urology, University Hospital Bern, Bern, Switzerland;
j
Department of Urogynaecology, King’s College Hospital, London, United Kingdom;
k
Department of Urology, Hospital Universitario de Canarias, Universidad
de La Laguna, Tenerife, Canary Islands, Spain;
l
Department of Urology, Rouen University Hospital and University of Rouen, Rouen Cedex, France;
m
Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium;
n
Klinikum Lippe Urologische Klinik, Akademisches
Lehrkrankenhaus der Georg-August-Universita¨t Go¨ttingen, Germany;
o
Department of Obstetrics and Gynecology, So¨dra A¨ lvsborgs Hospital, Bora˚s,
Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden;
p
Radboud UMC, Nijmegen, The Netherlands;
q
Department of General Gynaecology
and Gynaecologic Oncology, Medical University of Vienna, Vienna, Austria;
r
Department of Tissue Engineering, University of Sheffield, Sheffield, United
Kingdom;
s
Department of Obstetrics and Gynaecology, Helios-Klinikum, Erfurt, Germany;
t
Department of Obstetrics and Gynaecology, Academic Medical
Center Amsterdam, University of Amsterdam, Amsterdam, The Netherlands;
u
Obstetrics and Gynaecology Unit, Vita-Salute San Raffaele University, IRCCS San
Raffaele Hospital, Milan, Italy;
v
Paracelsus Medical University, Salzburg, Austria;
w
Department of Urology, Marmara University School of Medicine, Istanbul,
Turkey;
x
Department of Urology, University Hospitals Leuven, KU Leuven, Leuven, Belgium;
y
Department of Urology, Vita Salute San Raffaele University,
Milan, Italy;
z
Department of Urology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany;
aa
School of Medicine,
Medical Sciences and Nutrition, University of Aberdeen, Scotland, United Kingdom
E U R O P E A N U R O L O G Y 7 2 ( 2 0 1 7 ) 4 2 4 – 4 3 1available at
www.scienced irect.comjournal homepage:
www.europeanurology.comArticle info
Article history:
Accepted March 30, 2017
Associate Editor:
James Catto
Abstract
Context:
Surgical nonautologous meshes have been used for several decades to repair
abdominal wall herniae. Implantable materials have been adopted for the treatment of
female and male stress urinary incontinence (SUI) and female pelvic organ prolapse
(POP).
Objective:
A consensus review of existing data based on published meta-analyses and
reviews.
Evidence acquisition:
This document summarises the deliberations of a consensus
group meeting convened by the European Association of Urology (EAU) and the
European Urogynecological Association, to explore the current evidence relating to
* Corresponding author. Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United
Kingdom. Tel. +44 114 279 7841; Fax: +44 114 279 7841.
E-mail address:
c.r.chapple@shef.ac.uk(C.R. Chapple).
http://dx.doi.org/10.1016/j.eururo.2017.03.0480302-2838/
#
2017 European Association of Urology. Published by Elsevier B.V. All rights reserved.




