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HSE National Clinical Guideline

National Clinical Practice Guideline Diagnosis and Management of Mesh Complications


Topic: Diagnosis and management of mesh complications
Document Owner: National Clinical Lead for Guideline Development in Maternity and Gynaecology Services, National Women and Infants Health Programme (NWIHP)
National Group: Guideline Development Programme, National Women and Infants Health Programme
Effective From: 31 December 2025
Evidence-based recommendations for the care of women with mesh complications. Promoting a standardised approach nationally across all Gynaecology Departments in the diagnosis and management of such complications.
National Clinical Practice Guideline Diagnosis and Management of Mesh Complications
PDF, 3.0MB

This HSE/NWIHP national guideline provides evidence-based recommendations for diagnosing and managing complications following transvaginal mesh insertion for incontinence and prolapse. It outlines a standardised approach to clinical assessment, symptom documentation, and comprehensive investigation. Treatment options range from conservative measures (physiotherapy, local oestrogen) to surgical mesh removal within designated multidisciplinary mesh centres. A trauma-informed, biopsychosocial care model is emphasised throughout.

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