Mesh Implant Surgery For POP, SUI Repairs

April 7, 2014 | Author: | Posted in Health & Fitness

Pelvic Organ Prolapse

Usually occurring during menopause, women at this stage are at a high risk of suffering a pelvic health disorder described as Pelvic Organ Prolapse (POP). This disorder is characterized by the descent of a pelvic organ from its usual position towards the lower pelvic area where it presses against the vaginal wall. This condition comes about when the muscles of the pelvic floor lose strength or become weakened, mostly due to vaginal delivery and surgical operations, making it unable to support the different pelvic organs.

POP Symptoms

A woman may determine if she is having POP when she’s having symptoms such as:

With the bulge created in the vagina, pressure may be sensed by the patient

A sensation similar to being full may also be experienced

An awkward feeling as if something is falling out of the vagina

Discomfort and pain may be felt in the pelvic area as well as in the lower back

Especially when the bladder is affected, there may be urinary incontinence

Pain in the vagina during intercourse

Bowel troubles may also manifest in some instances

POP Treatment Options

There are surgical methods that are recommended to treat POP. In fact there are over hundreds of thousands who have undergone these types of surgeries. One of them is through surgical mesh.

When the pelvic floor muscles and tissues lose their strength, a device which is called surgical mesh or pelvic mesh is used to give the proper support. While the usual materials are the non-absorbable synthetic type, surgical mesh may also be sourced from animals. Transvaginal mesh is not only limited to POP repairs but also includes the repair of stress urinary incontinence (SUI). Similar to POP treatments, pelvic mesh devices for SUI repairs also provide support to the urethra or bladder neck.

Favored by many surgeons today in repairing SUI is the so-called sling procedures. A sling procedure may use natural tissues of the body or a mesh device, also called a sling or tape, which is used to prop up the urethra or the bladder neck. The urethra may then function correctly with these sling devices even when the pelvic area is stressed by certain physical activities.

Complications of POP Surgery

Due to numerous complications experienced by patients, including the severe mesh erosion, adverse reports were being submitted to the concerned agency, which is the Food and Drug Administration (FDA). Heavy bleeding, dyspareunia, severe infections, chronic pain, damage to other organs, and incontinence were the other adverse effects reported. Medical experts have determined that these adverse events were very serious that revision surgeries were needed.

In 2011, the FDA was forced to release a public advisory due to the rise in the number of injuries connected to the use of surgical mesh in the treatment of POP and SUI. Reports of serious injuries attributed to transvaginal mesh devices, numbering in the thousands, continue to the flood the FDA. In the years following the FDA%u2019s public advisory, mesh implant lawsuits in the thousands have been brought against erring mesh companies.

Lawsuit Updates

Pending mesh implant claims in various state and federal courts have been estimated to overshoot the 50,000 mark, with the most number in West Virginia centralized into six multidistrict litigations (MDL). With a few mesh lawsuits already resolved in court, trials for the other defendants have been scheduled for 2014.

Sources:

webmd.com/urinary-incontinence-oab/tc/pelvic-organ-prolapse-topic-overview

fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/UroGynSurgicalMesh/ucm262299.htm

huffingtonpost.com/2013/02/08/pelvic-mesh-lawsuits-surgical_n_2647435.html

mayoclinic.com/health/urinary-incontinence-surgery/WO00126

There are a lot of things that you need to know about mesh implant. You can check it different websites if you want to find out if this kind of implant is safe or not.

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