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Wed, 11 Jan 2012 |
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| What are some Vaginal Mesh Complications? | |||||
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Vaginal mesh implants are popular to many
urologists and gynecologists worldwide because of
its use in the management of Pelvic Organ Prolapse
(POP) and Stress Urinary Incontinence (SUI).
Various materials were used to create different
designs for these medical devices in order to
achieve higher cure rates. The implantation of
surgical mesh into the walls of the vagina is used
in POP and SUI by reinforcing the support of the
pelvic muscles to keep the pelvic organs attached
in the right place. But in recent years, there have
been many negative comments reported to the U.S.
Food and Drug Administration (FDA). According to
these reports, various deadly risks result from
vaginal mesh procedures .
Based on records, almost 40% of the women in the United States are afflicted with POP and SUI, and this figure is certain to go up as women get older making them more prone to these two debilitating conditions. These disorders advance as a result of low estrogen level in the body such as in menopause and hysterectomy, making it common to many older women. However, young women are no exception for these debilitating disorders; pregnancy and vaginal delivery are also seen as predisposing factors since it can induce a decreased muscle tone in the pelvic area. Erosion of the vaginal mesh is a negative effect shared by most of the recipients. It is considered as most dangerous since it can lead to other negative effects like the development of infections, pain, vaginal bleeding, dyspareunia (painful sexual intercourse, and malodorous vaginal discharges. Vaginal mesh infections worsen POP and SUI making reconstructive procedure difficult or sometimes impossible. It may occur during the insertion of the vaginal mesh implant or while the patient is on recovery phase and the incisions are not completely healed yet. Symptoms that may signify the presence of infection include rejection of the mesh, pelvic dragging, pus-filled or bloody vaginal discharges, and induration of incision. Bleeding is possible to occur both during the operation and the recovery phase. Although vaginal mesh implantation is considered as minimally invasive, the risk for hemorrhage due to the unsafe handling of surgical instruments is high. During the recovery phase, the patient is encouraged to avoid straining exercises as this can also cause bleeding of the surgical incision. Recurrence of prolapse or incontinence is viewed as another major problem rising up to the rate of 30%; this may be due to the materials used for vaginal mesh production which do not provide a permanent repair. Once it recurs, reconstruction is hardly possible. In view of the increasing use of vaginal mesh and the continuously rising rates of complications related to it, the U.S. Food and Drug Administration (FDA) issued public information regarding the danger of using vaginal mesh products. Going through vaginal mesh surgery can have a permanent negative effect on your life if you will consider it, so being aware of its negative consequences can be helpful to you or to someone important to you. Be informed of the safety of vaginal mesh procedure by asking your doctor and by inquiring about other treatment options for Pelvic Organ Prolapse or Stress Urinary incontinence. However, if you are one of those women who have suffered from the deadly complications of this procedure, you may be eligible for a vaginal mesh lawsuit and claim compensations for your loss.
References: www.thewomens.org.au/Meshinvaginalprolapsesurgery emedicine.medscape.com/article/276259- overview#a0102 www.e-meducation.org/news/aibs-teaching- cases/malodorous-vaginal-discharge-after-pelvic- surgery.html |
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Posted 08:15 1 comment | Post a comment |
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Wed, 14 Dec 2011 |
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| Implantation of Trans-vaginal Mesh and Its Potentially Irreversible Side Effects | |||||
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Commonly
practiced by gynecology and urology surgeons,
Trans-vaginal Mesh (TVM) implantation is widely
known to effectively manage Pelvic Organ Prolapse
(POP) or Stress Urinary Incontinence (SUI).
This is typically done by means of inserting a
piece of absorbable or non-absorbable synthetic
mesh that is mostly made of polyester or
polypropylene and has a trocar. The trocar,
i. e. the part of the mesh that looks like wings is
firmly pressed against a more secure connective
tissue in the vaginal wall, and then surgically
sewn in place. The trocar looks like wings, making
it easier for the surgeon to lodge the mesh and sew
it into a more stable connective tissue of the
vaginal wall. But even if it is considered to effectively manage conditions like POP and SUI, increasing accounts of critical complications of TVM have been received by the U.S. Food and Drug Administration (FDA). The most commonly reported adverse effect is the erosion of mesh through the vagina. Based on studies, restoring mesh erosion may need several procedure and may be unhelpful to resolve complications. Other common adverse effects documented by the FDA from 2008-2010 include vaginal bleeding, shrinkage, and scarring, infections, pain, difficulty in urinating, and pelvic organ perforations. According to the FDA, also included in the most common negative reactions are pains, infections, shrinking, scarring, and/or bleeding of the vagina, problems with urination, and perforation of pelvic organs. There are even incidences of emotional and neuromuscular problems. In 2006, an unspecified woman had an implant of Trans-vaginal mesh to treat her previously diagnosed condition -Pelvic Organ Prolapse, and had developed a urinary condition as a negative reaction to the procedure making her suffer persistent pain. A woman have undergone an implantation of Trans-vaginal mesh in 2006 as management for POP, and suffered pain and urinary comlications after the procedure was done. She went through a dozen procedures, but the results were not good. Now, it has greatly affected her active lifestyle that she cannot even endure sitting for more than 20 minutes. Even though the FDA did not restrict surgeons to practice TVM, it asks them to consider managing POP cases with non-mesh procedures. Trans-vaginal Mesh Implantation harbors greater risks than its counterpartcalled anterior colporrhaphy. Moreover, the DFA implied that should the benefits of using Trans-vaginal mesh overcome its risks and this procedure is really needed to be performed, surgeons should possess adequate training in mesh implantations, and should let their patients know and understand the possible negative reactions. If you have had an implanted mesh trans-vaginally, and are currently undergoing possible complications like pain, urinary problems, vaginal bleeding, and dyspareunia, you should discuss them with your physicians as soon as possible. It is necessary to visit your doctor regularly for a medical examination. It is crucial to discuss the potential risks with your doctor if you are planning to undergo this kind of surgery. Never hesitate to ask for more information about Trans-vaginal mesh implantation. References: http://www.medscape.com/viewarticle/746285 http://www.medicinenet.com/script/main/art.asp?articlekey=144301 http://www.transvaginalmesh.tv/2011/09/25/what-is-transvaginal-mesh/ |
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Posted 10:39 No comments | Post a comment |
