Pharmaceutical

Unsuccessful bladder sling surgeries often leave women in worse shape

vaginal mesh sling Unsuccessful bladder sling surgeries often leave women in worse shapeWomen who undergo operations to ease complications from unsuccessful bladder sling surgery are often in worse condition than before their original surgery, says urologist Jerry Blaivas with Weill Cornell Medical College in New York.

Bladder sling surgery involves the use of surgical mesh to shore up organs, such as the bladder, that have dropped, or prolapsed, as is the case with common pelvic floor disorders such as pelvic organ prolapse (POP) and stress urinary incontinence (SUI). The mesh is designed to treat symptoms such as urinary incontinence, painful intercourse, and discomfort.

In July 2011, the Food and Drug Administration (FDA) warned that vaginal mesh products are associated with significant complications and that other treatments are often more effective. The agency documented a fivefold increase in mesh-associated complications since 2008, totaling 2,874 cases. Adverse event reports included neuromuscular problems, vaginal scarring or shrinking, and three deaths directly related to mesh replacement.

Dr. Blaivas presented a case series at the International Continence Society’s 2012 annual meeting pointing out the difficulties urologists can expect when performing mesh sling salvage surgeries. His study involved a review of 47 cases in which he performed corrective surgery after at least one previous surgery attempt to correct complications caused by surgical mesh slings. Seventy-two percent of the surgeries were successful, but the outcomes were frequently less than optimal even in cases where as much of the mesh as possible was removed.

“The ‘successes’ were only relative for many patients – that is, they were better than were before their salvage surgery, but most were much worse than before their original surgery,” he told Renal & Urology News.

Source: Renal & Urology News