Pharmaceutical

Study shows transvaginal mesh removal often requires multiple surgeries

vaginal mesh sling Study shows transvaginal mesh removal often requires multiple surgeriesNearly a quarter of women who have experienced problems with surgical mesh to repair pelvic floor disorders have had to undergo multiple procedures to have the mesh removed in order to alleviate serious pain and other complications caused by the mesh, according to a study conducted by UCLA urologists.

The study included data from 236 women who underwent 319 mesh removal procedures during a six-year period from July 2005 to July 2011. Nearly 60 percent of the women had the mesh to treat pelvic organ prolapse (POP), and 86 percent had sling mesh, or a bladder sling, to treat urinary incontinence.

Researchers found that treatment for mesh complications was due to mesh exposure, or the mesh eroding through the pelvic wall. About a third of these women also experienced symptoms such as pain, urinary incontinence, infection and recurrent prolapse. Pain was the most often reported symptom, and had a significant negative impact on quality of life.

Eighty percent of the women said their symptoms improved after the mesh was fully removed. However, removing the mesh took multiple surgeries for about 25 percent of the women.

The study was initiated after the Food and Drug Administration (FDA) issued a safety warning about transvaginal mesh, informing women that serious complications had been reported with the device.

In July 2011, the FDA issued an update to the announcement “to inform you that serious complications associated with surgical mesh for transvaginal repair of POP are not rare,” and that its use “may expose patients to greater risk.”

Source: Modern Medicine