Vaginal Mesh Removal Surgery
Transvaginal mesh is a surgical mesh product used to create a sling to keep pelvic organs in place when women are suffering from stress urinary incontinence (SUI) or pelvic organ prolapse (POP). Although widely used, transvaginal mesh implants may cause dangerous and painful complications. When problems develop, surgical removal can prove necessary. Revision and removal surgeries have become increasingly common as more women have reported experiencing mesh complications.
Why Vaginal Mesh is Removed
Some of the main reasons for removal include:
- Erosion of the mesh into the bowels, bladder or urethra
- Disintegration or failure of the mesh
- Perforation of the bowel or bladder or other injuries to the bowel/bladder
- Urethra obstruction
- Nerve damage
- Discomfort during sexual intercourse
- Recurrent pelvic organ prolapse or stress urinary incontinence
When complications begin to develop, removal is often the only viable treatment option. Removal may also be required if the transvaginal mesh sling used to support the pelvic organs needs to be repositioned. When revision of the placement is required, some women choose to have the old sling replaced.
Potential Complications and Follow-Up
Unfortunately, even with surgical removal it may be difficult to resolve the complications caused by transvaginal mesh. If the mesh fuses with the tissues of the body, removal may be very difficult and could require multiple surgical procedures, even with a skilled surgeon.
Even after the mesh is removed, the pain and injuries caused by the mesh may not completely heal. Furthermore, the original underlying condition- POP or SUI- will still need to be treated, perhaps by an alternative surgical procedure.