UCLH statement on mesh removal surgery 

09/05/2019 00:00 
Until recently UCLH has had two teams working on mesh removal. One consists of a group of surgeons from urogynaecology, urology and colorectal services who form a multidisciplinary team (MDT) which is called the Urogynaecology and Pelvic Floor Unit. The other is Mrs Elneil who works as The Female Pelvic Medicine and Reconstructive Surgery Unit.

The Urogynaecology and Pelvic Floor Unit recently obtained accreditation from the British Society of Urogynaecologists (BSUG). This unit offers a mesh removal service and its surgery lists have not been paused.

Mrs Elneil has a national reputation and is much sought after but her Unit has not received accreditation by BSUG. So UCLH has taken a decision to pause her mesh removal operations to help her manage her waiting list and to allow her the space and time to make the necessary improvements.

As a result she will be able to integrate her cases into the UCLH MDT process alongside the Urogynaecology and Pelvic Floor Unit, so that all surgical decisions are supported by UCLH's clinical governance, and so that she too can obtain BSUG accreditation.

This decision was not made lightly. It has affected 13 patients given provisional dates for surgery in May and we deeply regret the distress this has caused this group of patients who are living with a very difficult and complex condition. We have written to all of them offering them alternative options, including referral to one of the surgeons in the Urogynaecology and Pelvic Floor Unit qualified to carry out mesh removal.

Finally, UCLH is also trying to ensure that the service is in a good position to be selected as one of the new specialised services for women with complications of mesh inserted for urinary incontinence and vaginal prolapse.

This newly commissioned service will be out to tender shortly, and NHS England will be looking to commission between four and seven centres across the country. We very much want to be one of those centres.

There is a dedicated patient helpline 07970 699590 for Ms Elneil’s patients. This is available from 9am – 2pm Monday to Friday. If your call is at the weekend, please leave a message and we will return your call within 24hrs or on Monday. If your call is clinically urgent please contact your GP or attend your local A&E. Thank you.

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