Carter P, Fou L, Whiter F, et al. - Given a possibility of complications, such as mesh exposure, mesh extrusion, voiding dysfunction, dyspareunia, and pain, following mesh surgery for stress urinary incontinence or pelvic organ prolapse, researchers sought to determine the best management of these mesh complications. They performed a systematic review as part of the national clinical guideline ‘Urinary incontinence (update) and pelvic organ prolapse in women: management’ and identified 24 studies for inclusion; five provided comparative data and four studies stated the indication for referral. Complete or partial mesh removal, mesh division, and non-surgical treatments such as vaginal estrogen were the included relevant interventions. The analysis revealed highly variable outcomes (including pain, dyspareunia, satisfaction, quality of life, incontinence, mesh exposure, and recurrence) and the reported incidences following mesh revision surgery. Hence, no recommendations were made on the most effective management for mesh-related complications.