Vaginal mesh Complications – What the FDA said




Have any of the ladies of your acquaintance had this rather private treatment for a Pelvic organ prolapsed? The pelvic floor is a part of the body in ladies that is indeed subject to weakening later in life. The organs, such as the bladder slip out of place and put pressure on the walls of the vagina. Many causes could contribute:

• Single or multiple child birth causing the muscles to weaken and stretch. This is a common cause.
• Another reason may be the weakening of the muscles from surgery for a Hysterectomy. The removal of the uterus withdraws support for the other organs in that region.
• Both of the above can be aggravated by being overweight.
• A long and enduring cough could contribute.
• Constipation.
• Tumors in the region.

The most common symptoms are the feeling of pain or pressure in the vagina, a feeling that something is falling out of the vagina, incontinence or a need to urinate frequently, constipation and the vagina hurting during intercourse.

Treatment varies depending on the severity of the prolapse. Mild cases are usually treated by exercise to strengthen those muscles. The fitment of a pessary is often performed which is a removable device that is inserted and then there is surgery which is the more radical treatment. Surgery is never recommended if the woman still intends to have more children. Also during the surgery it is often suggested that a hysterectomy is performed. But surgery is advisable if one is in lot of pain, is incontinent or has bowel problems or finds intercourse difficult or painful.

One of the treatments favored for POP repair has been the use of a surgical tape known as Vaginal Mesh. This device is a polypropylene tape with many holes that is inserted inside the vaginal walls during in order to function as a permanent support of the pelvic organs. Once in place the tissue grows through the holes in the mash and in four to six weeks after surgery normality returns.
Or so it was until recently. In 2008 the FDA published a warning alert that there had been some complications with vaginal mesh implants. Since that time a further 1500 reported cases of complications have been reported. This has led to a further warning in July 2011 stating that these complications no longer were regarded as rare and were raising continuous concerns. The warning was non specific but did state that those patients who had received mesh were at greater risk of having complications later than those who had had the more conservative stitching up repair. More information is available from Vaginal Mesh FDA Warning.

A growing number of women who have had this treatment are complaining of pain, bleeding, vaginal infections or shrinkage, urinary problems discomfort during intercourse and in some case erosion of the vaginal wall with the mesh protruding. Removal of the mesh is both not straightforward and does not necessarily cure the problem. So the patients are in an uncomfortable position.

There is the distinct possibility that a tort may have been committed by the manufacturers and a Vaginal Mesh Lawsuit is being prepared.

This entry was posted on Tuesday, September 13th, 2011 at 11:17 pm and is filed under Medical Malpractice. You can follow any responses to this entry through the RSS 2.0 feed. Responses are currently closed, but you can trackback from your own site.

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