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Fda issued warnings about transvaginal mesh for pop. Does this warning also apply to transvaginal mesh slings?
No: The "slings" used for treatment of urinary incontinence have not been implicated in the recent fda warning issued in 2011. Although they are also made of polypropylene mesh, the amount of material and the anatomic location of the sling are totally different from the mesh kits that were referred to in the fda warning bulletin. In addition, there is plenty of data published documenting the safety. ...Read moreSee 2 more doctor answers
Problems transvaginal mesh, slings etc. Do pig tissue slings cause similar problems (erosion etc)? What compications are associated with pig tissue?
Higher failure rates: The use of porcine tissue in the repair of pelvic organ prolapse has been done for sometime now and many physicians, including myself, have seen higher failure rates than with permanent mesh. Complications associated with porcine grafts are similar to synthetic meshes except erosion or extrusion to the porcine graft tend to be less problematic depending on which product is used. ...Read moreSee 1 more doctor answer
Depends. : Common problems related to vaginal mesh implants and slings include pelvic pain, painful intercourse, difficulty urinating, pain with bowel movements and mesh erosion. The most effective treatment for these types of problems is removal of the implant. Mesh removal surgery is very effective and safe with a surgeon experienced in these type of procedures. ...Read moreSee 2 more doctor answers
Depends. : Common problems related to vaginal mesh implants and slings include pelvic pain, painful intercourse, difficulty urinating, pain with bowel movements and mesh erosion. The most effective treatment for these types of problems is removal of the implant. Mesh removal surgery is very effective and safe with a surgeon experienced in these type of procedures. ...Read moreSee 1 more doctor answer
I have had two bouts of sigmoiditis. Can the transvaginal mesh cause this? I feel like the mesh is poking me. I had two colonoscops. Four months apart
Unlikely: Sigmoiditis is either due to inflammatory, iscjemic or infectious in nature. It sounds like you are being followed appropriately for that . Transvaginal mesh has nothing to do with it. If you have any issues with the mesh i would recommend checking with your surgeon and making sure its in the right place. ...Read more
Removal of mesh: The vast majority of patients who develop problems with transvaginal mesh can have resolution of their symptoms by removing the part of the mesh that is causing problems. Most of the time bladder symptoms related to the mesh can be relieved. Issues relating to vaginal pain or painful intercourse may be more challenging but the majority of these can also be fixed by judicious removal of the mesh ...Read moreSee 1 more doctor answer
Depends on type: Vaginal mesh slings, widely considered the standard of treatment for stress urinary incontinence, have a complication rate of less than 5-8% generally. Vaginal mesh "kits" used for pelvic organ prolapse surgery (to fix bulges within the vagina from the bladder/rectum or prolapse of the vaginal cuff after hysterectomy) have been found to have a complication rate of around 20-30%. ...Read moreSee 1 more doctor answer
Mesh Complications: Depending on the type of mesh used (i.e., sling for incontinence or larger mesh kits for prolapse) the symptoms can include: difficulty urinating, urinary infections, pelvic pain, pain during intercourse, bleeding with/after intercourse, vaginal mesh exposure, mesh erosion into other organs, pain with bowel movements. For slings, the complication rate is low ~ 5-10%. High for mesh kits ~30-35%. ...Read more
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