Pelvic Mesh (referral to Queensland Pelvic Mesh Service (QPMS) Only)

Red flags

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region

  • Ectopic pregnancy
  • Ruptured haemorrhagic ovarian cyst
  • Torsion of uterine appendages (ovarian)
  • Acute/severe pelvic pain
  • Significant or uncontrolled vaginal bleeding
  • Severe infection
  • Abscess intra pelvis or PID
  • Bartholin’s abscess / acute painful enlargement of a Bartholin’s gland/cyst
  • Acute trauma including vulva/vaginal lacerations, haematoma and/or penetrating injuries
  • Post-operative complications within 6 weeks including wound infection, wound breakdown, vaginal bleeding/discharge, retained products of conception post-op, abdominal pain
  • Urinary retention
  • Acute urinary obstruction
  • Unstable molar pregnancy
  • Inevitable and / or incomplete abortion
  • Hyperemesis gravidarum
  • Ascites, secondary to known underlying gynaecological oncology

The Queensland Pelvic Mesh Service (QPMS) provides interdisciplinary care to women who have experienced pelvic mesh complications, including chronic pelvic pain, mesh exposure, infection, bleeding, dyspareunia, incontinence, bladder or bowel perforation, and difficulty sitting or walking.

The QPMS will be delivered by Gold Coast Hospital and Health Service using existing facilities which may include facilities at the Varsity Lakes1, Robina Health Precinct2 and Gold Coast University hospitals3


Does your patient wish to be referred?

Minimum referral criteria

Does your patient meet the minimum referral criteria?

Category 1

Appointment within 30 days is desirable

  • Fistula (constant urinary or faecal incontinence per vagina)
  • Mesh in viscus
  • Unexplained haematuria potentially related to mesh within the bladder

Category 2

Appointment within 90 days is desirable

  • Recurrent urinary tract infections or unexplained haematuria potentially related to mesh within the bladder
  • Vaginal bleeding related to mesh exposure
  • Offensive vaginal discharge

Category 3

Appointment within 365 days is desirable

  • Stable mesh related pelvic or vaginal pain
  • Asymptomatic mesh exposure
  • Dyspareunia

If your patient does not meet the minimum referral criteria

Consider other treatment pathways or an alternative diagnosis.

If you still need to refer your patient:

  • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Other important information for referring practitioners

Not an exhaustive list

  • Refer to HealthPathways for assessment and management information if available
  • Patients deemed unsuitable for the QPMS may be directed to alternative care pathways for management and support
  • If your patient does not meet all criteria and is experiencing a gynecological issue, please refer the patient to her local service for assessment.
  • If you would like to discuss QPMS further or require assistance with the referral process please phone 07 5619 0772 or email
  • Clinical resources

Referral requirements

A referral may be rejected without the following information.

  • Confirmation of type of mesh product i.e. whether for prolapse or incontinence and when it was inserted if at all possible*
  • Name of commercial pelvic mesh product inserted i.e. Prolift mesh, Elevate mesh, tension free vaginal tape (TVT) etc.
  • Patient symptoms, onset and treatment to date
  • Quality of life affected by mesh related issues
  • FBC, LFTs, U&E’s
  • Urine microscopy, culture and sensitivity/susceptibility.

* In order to progress your patient’s referral through the service in a timely manner it is essential to try to obtain confirmation of type of mesh product and when it was inserted if at all possible. This should occur before communicating with the QPMS. Without this information being provided there may be a lengthy delay in your patient being seen in the service

Additional referral information (useful for processing the referral)

  • Body mass index (BMI)
  • Provide and other relevant history, clinical examination findings and treatment to date (if required)
  • Provide social factors and impact on patient
  • Provide Mental health history
  • What are the patient’s goals of care?
  • Imaging reports (if available)

Out of catchment

Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander
  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary
  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Medical Objects ID: MQ40290004P
HealthLink EDI: qldmnhhs

Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road

Health pathways

Access to Health Pathways is free for clinicians in Metro North Brisbane.

For login details email:

Login to Brisbane North Health Pathways:

Back to top