Ms Amanda Jackson:

With respect, having a scanner does not mean that a person has the skills to be able to use what is found, having used the scanner. The scanner itself is not an answer. International best opinion would say that the consultant who inserted the mesh is not always best placed to remove it but may feel duty bound to do it because he or she has put it in and it has caused all of the issues. A completely different skill set, however, is required. It is a sub-specialty that needs a specialist clinic with one or two doctors who consistently only carry out that procedure. Our doctors are involved in multiple other disciplines within urogynaecology. It is just not possible here because Ireland is too small a country to gain that level of expertise with good outcomes. They are quite right to say that they could not do it or that it is not recommended. It is not recommended because the skill set is not available to them. It is not a reflection on the doctors. There are huge constraints on our medical field.