In this article we try to summarize our experience and available research data on mesh surgery in gynecology.
Materials and methods. We had performed search for available sources of information such as Pubmed and Cohrane Internet databases to reveal currently available evidence based data on advantages and disadvantages of using mesh in gynecological surgery.
Results. Existing meta-analyses of research data do not answer the question what technique type is better: with or without mesh. Most of them agree on the following points: adoption of mesh decreases recurrence rate; mesh is associated with more serious complications; surgery should be performed by experienced surgeon that specializes in pelvic surgery; there are not enough long-term research data on meshes.
Conclusion. Currently there is no final decision concerning place of mesh in gynecological surgery. Like any surgical technique it has specific advantages and drawbacks. More realistic indications for adoption of this kind of techniques are only being formed. Only future will reveal the real value of meshes application in urogynecological surgery.