To Mesh or Not to Mesh: Editorial Commentary RE: Kanabolo et al.

Placement of prophylactic mesh at the time of ileal conduit urinary diversion is a controversial topic. On one hand, prophylactic parastomal hernia mesh has been found to decrease the rate of clinically detected parastomal hernia with no mesh complications in randomized studies1 and, as the current authors find, the approach has been found to be cost effective.2,3 On the other hand, placement of prophylactic parastomal hernia mesh is not widely adopted in clinical practice. One reason for lack of adoption may be because the absolute rate of symptomatic parastomal hernia repairs that require surgical intervention is low because interventions are limited to cases with complications from the parastomal hernia such as bowel or conduit obstruction or skin breakdown from pouching challenges.

Source: Urology - June 14, 2023 Category: Urology & Nephrology Authors: Giulia I. Lane, John T. Stoffel Source Type: research