title: Informed surgical consent for a mesh/graft-augmented vaginal repair of pelvic organ prolapse. Consensus of the 2nd IUGA Grafts Roundtable: optimizing safety and appropriateness of graft use in transvaginal pelvic reconstructive surgery.
abstract: OBJECTIVE
  Complex issues surround informed surgical consent for pelvic reconstructive surgery.
  
  
  METHODS
  Vaginally placed mesh/grafts are used with the intent to increase durability of the repair but potentially introduce unique complications, offering new challenges in informed surgical consent counseling.
  
  
  RESULTS
  Informed consent is a process that takes place throughout the entire consultation with the patient. A written document often accompanies that process. This paper outlines necessary components of informed surgical consent and the theory behind each component.
  
  
  CONCLUSIONS
  We explore elements that should be included in the consent process with regard to expected benefits, alternatives, and material risks that are specific to the use of a mesh/graft-augmented vaginal repair of prolapse. Included is an appendix that may serve as a template for the creation of a surgeon's own written informed consent document.
authors.affiliation: Division of Urogynecology, Wheaton Franciscan Healthcare, 201 N Mayfair Rd, Wauwatosa, WI 53217, USA. dennis.miller@wfhc.org
authors.forename: Dennis
authors.initials: D
authors.lastname: Miller
authors.forename: Alfredo L
authors.initials: AL
authors.lastname: Milani
authors.forename: Suzette E
authors.initials: SE
authors.lastname: Sutherland
authors.forename: Bonnie
authors.initials: B
authors.lastname: Navin
authors.forename: Rebecca G
authors.initials: RG
authors.lastname: Rogers
mesh_terms: D005260:Female; D006801:Humans; D007258:Informed Consent; D010353:Patient Education as Topic; D061214:Patient Safety; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D018570:Risk Assessment; D013526:Surgical Mesh / Q000009:adverse effects*