FAQ: What is Transvaginal Mesh?

What is Transvaginal Mesh?

The transvaginal mesh is a synthetic or biological material utilized in reconstructive pelvic surgeries to provide support for weakened or damaged tissues, available in various types and serving distinct purposes.

Definition and Purpose

Transvaginal mesh stands as a medical device, often used to treat pelvic organ prolapse and stress urinary incontinence in women.

Its primary function involves providing additional support to weakened or damaged tissues around the bladder, rectum, and uterus.

The use of this surgical mesh intends to address significant health concerns like discomfort or embarrassment caused by these conditions.

However, it’s also crucial to note that transvaginal permanent mesh is linked with lower instances of repeat surgery compared to native tissue repair, even though its usage corresponds with higher rates of potential complications.

Types of Transvaginal Mesh

Three primary types of transvaginal mesh exist.

Polypropylene mesh, the most frequently used type, is a synthetic option featuring large pores and monofilament construction which allows tissue growth through its spaces.

Absorbable or biological mesh, made from animal tissues such as cowhide or pigskin, is another option – it gradually dissolves and encourages new tissue growth in patients.

Lastly, composite meshes are available; these hybrids boast polypropylene layers combined with absorbable coating that prevents exposure to surrounding organs.

Each type suit different needs based on the patient’s condition and surgeon’s preference.

When is Transvaginal Mesh Used?

Transvaginal mesh is primarily utilized in surgeries for treating conditions such as pelvic organ prolapse and stress urinary incontinence among women.

Pelvic Organ Prolapse Surgery

Pelvic organ prolapse surgery is an operation to address a condition where one or more pelvic organs descend into the vagina.

This medical issue often affects women after childbirth, as pregnancy and delivery can weaken the muscles that support these organs.

Surgeons have historically used transvaginal mesh in this procedure to provide extra support.

The mesh, typically made of synthetic plastic, serves as a sturdy scaffold for your body’s tissues to grow around.

However, recent studies indicate higher rates of complications with this surgical approach versus others not involving transvaginal mesh.

As such concerns grow, surgeons are now exploring alternative treatments, both surgical and non-surgical for pelvic organ prolapse.

Stress Urinary Incontinence Surgery

Stress urinary incontinence surgery is a procedure primarily used when non-surgical treatment options fail to improve this condition.

Surgeons often utilize transvaginal mesh for support during the operation, including the commonly performed midurethral sling procedure.

The goal of these surgical interventions is to provide an effective and long-term solution for women experiencing stress urinary incontinence—a common issue characterized by involuntary leakage of urine during physical activities such as coughing or sneezing.

However, it’s essential to know that permanent mesh implementation may come with higher rates of de novo stress incontinence and serious complications reported by the FDA, such as erosion and bladder sling issues.

FDA Ban on Transvaginal Mesh

The ban on transvaginal mesh by the Food and Drug Administration (FDA) effectively halted its use in repairs of pelvic organ prolapse, significantly impacting women’s healthcare options.

Explanation of the Ban

In 2019, the FDA issued a ban on transvaginal mesh for treating pelvic organ prolapse and ordered companies to stop selling these products.

This action was necessary due to growing concerns about women’s health risks associated with its use.

Transvaginal mesh used in surgeries for stress urinary incontinence and other types of pelvic surgery were not affected by this ban.

The decision arrived after careful scrutiny and research into the complications arising from the usage of transvaginal mesh implants for POP repairs.

Instead of providing relief, many women experienced pain, discomfort, infections or even erosion issues leading to follow-up procedures.

The FDA stood firm in taking this decisive step focusing on safeguarding women’s health over any other considerations.

Implications for Women

The FDA’s ban on transvaginal mesh has significant implications.

Women seeking treatment for conditions like pelvic organ prolapse or stress urinary incontinence will need to explore other options.

Doctors cannot propose this solution anymore, given the health risks associated with it.

Countries worldwide have taken similar steps, impacting women’s healthcare choices globally.

Though it may seem concerning initially, safe surgical alternatives are available.

For instance, the FDA recommends transabdominal surgical mesh as a viable alternative for treating pelvic organ prolapse.

These changes aim to ensure women’s safety and prevent complications arising from using transvaginal mesh.

Complications from Transvaginal Mesh Implants

This section will explore the various complications that arise from transvaginal mesh implants, including severe pain and discomfort, infections, and the troublesome erosion of the mesh.

Pain and Discomfort

Transvaginal mesh implants have been associated with significant pain and discomfort for some women.

These complications can occur during everyday activities or even at rest, affecting quality of life.

It is not uncommon to feel a persistent ache in the lower abdomen or pelvic area.

Many women also report intimate troubles due to this medical device.

The implant can induce painful sexual intercourse, known in medical terms as dyspareunia.

This results from the mesh eroding into surrounding tissues, causing irritation and inflammation.

In severe cases, you may find it difficult to sit comfortably for extended periods or engage in physical activities without distress.

Infection

Infection stands as a common complication linked to transvaginal mesh implants.

After undergoing an operation, signs of infection may surface, like severe pain and bleeding.

A medical professional will confirm these symptoms and execute culture tests for proper diagnosis.

Occasionally, the mesh device becomes contaminated during surgery leading to chronic infections that persist over time.

These chronic infections can escalate complications including organ perforation – a serious condition where holes form in nearby organs such as the bladder or bowels.

Thus, it is critical to monitor your condition closely after receiving transvaginal mesh implants and report any irregularities promptly for timely treatment.

Erosion of Mesh

Erosion of mesh stands as a common issue with transvaginal mesh implants.

This complication occurs when the mesh begins to protrude through the surgical incision and into the vaginal canal.

Various symptoms can indicate its occurrence, including irregular vaginal bleeding or discharge, pelvic pain, discomfort during sex, or bladder and bowel problems.

In rare cases, this condition may even lead to serious complications if the mesh erodes into organs like the bladder, rectum or bowel.

Treatment is essential once signs are identified; this typically involves further medical management from healthcare professionals.

Alternatives to Transvaginal Mesh

This section will explore other treatment options for pelvic organ prolapse and stress urinary incontinence, discussing both non-surgical methods and alternative surgical procedures that can be considered as safer alternatives to transvaginal mesh.

Non-surgical Treatments

Exploring non-surgical treatments provide options for those who prefer to avoid surgery.

Let’s discuss some non-surgical treatments:

1. Pelvic Floor Exercises: These exercises strengthen the pelvic muscles and can alleviate symptoms of both stress urinary incontinence and pelvic organ prolapse.
2. Weight Loss: Maintaining a healthy weight also reduces pressure on the pelvic organs, reducing symptoms.
3. Use of Pessary: A pessary is a device inserted into the vagina that provides support for prolapsed organs.
4. Biofeedback Therapy: This method employs electronic sensors to monitor bodily functions like muscle tension, helping patients learn how to control them.
5. Medications: Estrogen therapy can help maintain or restore the strength of vaginal tissues in women undergoing menopause.
6. Vaginal cones: These weighted devices are used in conjunction with pelvic floor exercises to enhance their effect.

Pelvic floor disorders can significantly impact an individual’s quality of life, often requiring a comprehensive treatment approach.

The non-surgical treatments mentioned above are particularly effective ways to treat pelvic floor disorders, offering patients options that can be tailored to their specific needs.

Other Surgical Options

Apart from transvaginal mesh, several other surgical options exist for treating pelvic organ prolapse and stress urinary incontinence.

These surgical options may include, but are not limited to:

1. Native tissue repair: This method utilizes the patient’s own tissues to restore pelvic organ support.
2. Laparoscopic sacrocolpopexy: Surgeons use minimally invasive techniques to lift and secure the vagina with a synthetic material.
3. Uterosacral or sacrospinous ligament fixation: These procedures involve attaching the vagina to strong ligaments in the pelvis.
4. Autologous fascial sling: A strip of the patient’s own tissue is used to create a support under the urethra.
5. Colpocleisis: A process designed for women who no longer desire vaginal intercourse, where doctors close off part or all of the vaginal canal.

Mesh surgery and transvaginal repair is a specialized surgical procedure that offer targeted solutions to treat urinary incontinence.

These surgical options complement the range of treatments available, providing a comprehensive approach that can be customized to meet individual patient needs

Transvaginal Mesh Lawsuits

Explore the rising number of lawsuits relating to transvaginal mesh complications, understand why it’s crucial to contact a knowledgeable attorney, and learn about your legal rights concerning these troubling medical cases.

Information about Potential Lawsuits

Thousands of women have pursued legal action against the makers of transvaginal mesh.

Many accuse these companies of negligence, design flaws, and warranty breaches.

The concerned manufacturers have settled numerous lawsuits, tallying over $8 billion in personal injury settlements.

Notably, the FDA issued a safety alert in 2011 highlighting serious complications associated with surgical mesh intended for pelvic organ prolapse repair are not rare occurrences.

These severe adverse events can drastically alter lives and cause persistent pain among recipients.

Thus far, this wave of litigation has seen tens of thousands of cases filed by women who received transvaginal mesh implants suffering from chronic complications.

Why Contact an Attorney

Engaging an attorney in transvaginal mesh cases can help you navigate the complexities of these specific lawsuits.

These legal professionals are well-versed in medical terminology, understand procedural nuances, and have extensive knowledge about the FDA regulations surrounding mesh implants.

They’re here to empower you by clearly outlining your rights and exploring all available options for compensation.

Communication with corporations or their insurance companies dealing with such claims can be daunting without a lawyer’s assistance.

An adept attorney ensures that your voice gets heard while they advocate on your behalf during negotiations or court proceedings.

It is crucial to put yourself in capable hands if you choose to pursue litigation following complications from a transvaginal mesh implant.

TruLaw's Expertise in Transvaginal Mesh Cases

Receiving legal assistance can change the outcome of your transvaginal mesh complications significantly.

Mesh implants, as noted, result in serious medical issues such as erosion through the vaginal mucosa.

Recovering needs expertise and financial support that lawsuits offer.

Vaginal Mesh Attorneys understand and navigate these complex requirements better than victims alone could manage.

They can help you file claims for compensation to handle health impacts caused by failed mesh implants, including, but not limited to:

• Pain;
• Bleeding;
• Infection;
• Organ perforation (which often requires additional surgery); and
• Other serious complications

Exploring this option is not just about seeking justice but also crucial for your health recovery plan.

TruLaw’s Experience With Transvaginal Mesh Lawsuits

If you’re experiencing complications with your transvaginal mesh implant, don’t suffer in silence.

Let the experienced team at TruLaw provide the guidance and support you need.

Reach out to us today for a free consultation — we’re ready to help you navigate through this challenging time.