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Medical Diagnosis

Failed TransVaginal Mesh Implant Treatment Options

Failed-TransVaginal-Mesh-Implant-Treatment-Options The FDA cleared surgical mesh for use in TransVaginal surgeries in the 1990s. Since then, tens of thousands of women have had the TransVaginal Mesh implanted in their bodies to treat stress urinary incontinence (SUI) or pelvic organ prolapse (POP). The mesh provides support for organs like the bladder and rectum by strengthening weakened pelvic muscles. Unfortunately, for many women, TransVaginal Mesh has only led to further complications and surgeries. Below, you’ll find information on the problems associated with TransVaginal Mesh and the available treatment options.

The most common option is removal of the mesh and treatment of any damaged tissues. Some permanent damage in the nerves and organs may occur. Other options include replacing the defective mesh with newer, safer TransVaginal Mesh products.

While there are plenty of patients who have received TransVaginal Mesh implants without any complications, there are also a good number who have suffered from failed TransVaginal Mesh implants. According to Health Hub, there are several key complications that patients should look for that can help them discern whether complications have occurred post-surgery that warrant further investigation by a doctor.

What’s the Trouble with TransVaginal Mesh?

Surgical mesh is a small flexible screen often made of various plastic materials. It was designed to remain stable and permanently hold its shape. However, when placed TransVaginally, mesh failure is not rare. Oftentimes, the mesh erodes inside the body, leaving behind sharp mesh fragments. This process is called “mesh erosion.” The mesh fragments can then move into the vaginal canal or puncture surrounding organs and blood vessels – a complication known as “mesh perforation.” Internal bleeding and infection often occur as a result. Consequently, many women report unresolved pain, sexual difficulties, and worsened SUI symptoms.

Key Symptoms of Failed TransVaginal Mesh Implants:

  • Painful sex;
  • Chronic pain in the pelvic region;
  • Abnormal discharge from the vagina, including bleeding;
  • Prolapse and incontinence return;
  • Bowel irritation and bleeding.

Treatment Options for Failed TransVaginal Mesh Implants

There are a variety of treatment options that you can consider for failed mesh implant surgeries. Keep in mind that treatments can and will vary between patients. Only a qualified, certified medical doctor can advise you on what procedures are best suited for your specific situation. The following treatment options are current ones being used for patients who have suffered from failed mesh surgery implants.

After mesh failure is confirmed, the least invasive treatment is usually attempted first. The treatment options can vary greatly depending on the location and severity of the damage:

Mesh Erosion Treatment Options

  • Estrogen cream to help regulate the flow of blood and encourage the healing process.
  • Replacement of stitches or re-sewing of any found loose stitches.
  • Surgical mesh trimming to eliminate any hardened or exposed mesh and to trim any mesh that has become loose.
  • Laser treatment to remove any mesh from the vagina and nearby soft tissues.
  • Scar tissue treatment.
  • Treatment of infection with antibiotics.

Mesh Perforation Treatment Options

  • Removal of mesh from the vagina via laser or conventional surgery.
  • Repair of damaged soft tissue, scar tissue, urethra, vagina and bowels.
  • Catheterization in severe cases due to untreatable, long term incontinence.
  • Treatment of infections including cysts and white blood cell build-up.
  • Transfusion for severe or prolonged blood loss
  • Drainage of pus or of other abnormal fluids
  • Antibiotic therapy for current or potential infection

TransVaginal Mesh removal surgery is a delicate and tedious procedure. Several attempts may be necessary to completely remove the mesh, as tissue and nerves tend to grow in and through it. After the eroded mesh is completely removed, another type of mesh may be implanted in its place. Additional surgeries can bring a number of other associated risks, including hemorrhage, pulmonary embolism (deadly blood clots that travel to the lung), pneumonia, and infection. Hospitalization may be required, and complete recovery can take several weeks.

Next Steps

Placement of mesh through the vagina is now considered unsafe by many doctors. Unfortunately, inadequate human testing was conducted on TransVaginal Mesh prior to it being placed on the market. Add to this scenario the many brands of mesh that have been taken off the market for defects – including mesh made by Johnson & Johnson and Boston Scientific – and it’s no wonder there are so many women who are worried about TransVaginal mesh. While there are many treatment options, they aren’t cheap. As a result, patients who’ve been injured by defective mesh may want to consult with an attorney to learn more about their legal options.

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