Consult your attorney in Transvaginal complications
Transvaginal mesh is a type of surgical mesh made up like a woven fabric. Transvaginal mesh is generally made up of polyester or polypropylene. It is used in women with pelvic prolapse, bladder prolapse and similar problems. It is implanted in vagina to reinforce vaginal wall or to create a kind of a hammock or sling. There are several complications associated with the use of transvginal mesh which generally are:-
1 Mesh Erosion – According to FDA this is the most common and reported transvaginal mesh complication. Mesh erosion once occur may need many attempts to repair it and sometimes it can not be treated completely.
2 Pain – Pain is also a complication of transvaginal mesh implant which may occur in legs, pelvis or abdominal region.
3 Infection and Bleeding – Infection and bleeding may also occur if proper sterile conditions are not maintained while implanting the mesh.
4 Pain during intercourse – As a result of mesh implant there may be pain during intercourse to the women.
5 Organ perforation and Urinary problems – Mesh may perforate into the pelvic organs and it might also lead to urinary infections and problems.
6 Recurrent prolapse – In spite of a mesh implant there may be recurrent pro-lapse if the mesh is not able to provide the adequate support.
7 Neuro – muscular problems – After mesh implant there may be neuro muscular problem in pelvic musculature which needs to be trained with the mesh for neuro – muscular coordination.
8 Vaginal Scarring and Vaginal shrinkage – Transvaginal mesh contraction is new complication which FDA have come across after 2008 in which mesh might contract leading to vaginal shrinkage and pain.
9 Emotional Problems – Persistent pain and other complications may develop into emotional problems like depression, irritability and inconvenience to the patient.
FDA has published recommendations for the patients undergoing surgical repair which includes asking detailed questions to your surgeon before and after surgery, doing routine checkups. The FDA recommends that health care providers:-
1. Should obtain specialized training for each mesh implantation technique and should be aware of the associated complications.
2. Be vigilant for potential complications specially erosion and infection.
3. Watch for complications induced by tools used in surgery.
4. Inform patients that mesh implant is permanent and some complications might need additional surgeries which might or might not cure them.
5. Provide patients with a copy of the patient labeling from the surgical mesh manufacturer if available.
6. Inform patient about all the possible complications which might occur after mesh implantation.
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