Female pelvic surgical devices and techniques need better evidence-based medicine

Abstract

The adoption of evidence-based medicine (EBM) recommendations in female pelvic surgical technique and surgical device intervention is contingent upon the availability of EBM and the willingness and ability of practitioners to accept and implement the recommendations. It can be assumed that there is virtually no disagreement among either the practitioners or the experts who practice the craft with regard to the benefits of applying scientific and clinical data that can be obtained from prior and ongoing experience to the selection of current treatments. However, there is significant controversy regarding the existence of adequate "evidence" and the mechanism for developing and applying the recommendations that can be distilled from the available data. Neurourol. Urodynam. 29:670-675, 2010. © 2010 Wiley-Liss, Inc.