There is increasing awareness amongst patients with the risk of tape or mesh erosion. This is indeed a recognised risk. However, a balance view should be taken weighing the symptoms of urine incontinence, the available treatment options, the anticipated chance of improvement and also the potential complications. Unfortunately there is no treatment which works well with no potential side effects. Again, it is a case of careful patient selection, advice and informed consent

This expert advice had been presented in a recent meeting in Dublin. The recommendation was made by an international panel. What is unique is this is the first guideline offered specifically for spinal injury patients, in contrast to the one made by WHO for the genera population. There is now some guidance to work towards building muscular and cardiovascular health. Follow this link for further details (https://www.nature.com/articles/s41393-017-0017-3). It is an article