Surgical Audit has been strongly recommended by RANZCOG especially in the wake of the FDA 2011 statement warning of serious complications and followed by a frenzy of litigation. A large comprehensive database provides an opportunity for the surgeon to reflect on techniques, equipment, patient selection, pre -and post operative follow up regularity and management protocols.
A single surgeon series audit of 279 suburethral slings for stress incontinence is presented with follow up data at 6 weeks, 6 months and 12 months post surgery. Complications are classified according to the IUGA Standardisation Committee 2014 and compared with reported rates in systematic reviews.
This series compares very favourably with published figures of expected complications. The audit reflects the mesh usage trend, learning curve and the reduction of complications over time with surgical experience and perhaps more judicious patient selection.