Q: What is transvaginal mesh?A: In women, a vaginal mesh support is a way of repairing a common type of pelvic organ prolapsed, which occurs when pelvic organs fall out of place, by stitching the connective tissue in the vaginal wall muscle back together.
Q: How can transvaginal mesh hurt me?A: Transvaginal mesh has been linked to a number of dangerous problems, including reports of infection, pain, urinary problems and bowel, bladder or blood-vessel perforations. Some women have also reported recurrences of the prolapse and the need for more surgeries to attempt to remove surgical mesh that had eroded into the vagina.
Q: I heard the FDA has issued a warning against synthetic transvaginal mesh. I’m not sure if that was used in my pelvic organ prolapse procedure. What should I do?A: Transvaginal mesh complications can include mesh erosion, pain, infection, bleeding, painful sexual intercourse, organ perforation, and urinary problems. For patients who have had vaginal mesh surgery for pelvic organ prolapse and are pleased with their surgery and are not having complications or symptoms, there is no need to take any action other than regular check-ups and follow-up visits to the doctor. Patients with complications or symptoms after surgery should alert their health care provider. If you are still worried and not sure if your doctor used a mesh or do not know what kind of mesh was used in your surgery, do not hesitate to call the health care provider who handled your procedure to ask any questions you might have.
Q: I was recently diagnosed with pelvic organ prolapse and my doctor suggested transvaginal mesh as a treatment option. What should I do?A: There are many treatment options for pelvic organ prolapse. They include non-surgical options, non-mesh surgery (i.e. native tissue or biologic graft vaginal repairs), abdominal or laparoscopic mesh procedures and transvaginal mesh placement. You should feel comfortable with your decision and make sure you fully understand the risks involved.