Consequences of Trans-Vaginal Mesh Surgery

Consequences of Trans-Vaginal mesh surgery.

Risks ,Problems and Damage

Many women experience prolapse following child birth some years later where the bladder, bowel and uterus can protrude into the vagina.

These complications further create problems with bladder and bowel incontinence and sexual intercourse and can quite often be painful.

The medical profession in its wisdom had been using a synthetic mesh type material for people with hernias and decided to use a similar mesh to be sewn into the vaginal wall to provide a framework of support for all the organs that had collapsed (prolapsed).

The mesh is placed under the vaginal skin to act as a support. It has tiny holes in it like a piece of mesh material would have, but it’s made of a synthetic material. It is called a Vaginal Support Device or VSD.  

The problem has been the VSD or mesh has now been responsible for some significant complications and this was stated by The FDA in 2008 and 2011 when it became apparent this was no minor medical issue.

Because the mesh that is sewed into human tissue is synthetic, over time it erodes away the vaginal wall by cutting into the vagina and other organs nearby and can do damage to various organs it comes into contact with general movement and friction created in the internal uro-genital area.

These results can include bleeding, intercourse pain, adhesions, chronic infections, incontinence;blood clots even walking can be painful. In short life becomes a living hell for the victims of this failed experiment.

There have been over 80,000 of these types of surgeries with about a 2 in 10 failure rate in the U.S .In anyone’s terms that is a high level.

Each year in the USA, approximately 200,000 women undergo surgery for pelvic organ prolapse. In a large study from a US health maintenance organisation, it was reported that 11% of women had undergone surgery for pelvic organ prolapse by the age of 80 years.

Repeat surgery for recurrent prolapse was required in 29.2% within 4 years of the primary surgical procedure.

Risk factors for recurrent prolapse are poorly understood. These surgical failures have resulted in many revised surgeries requiring the removal of the Trans Vaginal mesh being removed completely

In late May 2012 Johnson and Johnson notified all regulators that they will be ceasing supply globally over the next three to nine months of their surgical mesh products used in the treatment of pelvic floor prolapse and urinary incontinence.

These surgical failures have resulted in many revised surgeries requiring the removal of the Trans Vaginal mesh being removed completely.

Law suits continue in the US and in Australia with lawyers believing it could be the largest law suit ever in Australia .

An urogynaecologist Richard Reid maintains when asked about his investigation of the mesh he stated:

“When the mesh is put underneath the bladder, the bladder moves back and forth as it fills and it moves back and forth during intercourse,

Because mesh scar is fundamentally quite fibrous and the bladder is very soft, we call this compliance mismatch, which means the same as rubbing a piece of cheese over a metal grater; the metal grater is obviously harder than the cheese.

Research published last May in the New England Journal of Medicine found mesh kits had "higher short-term rates of successful treatment" but also "higher rates of surgical complications and post-operative adverse events".

The risks with this type of procedure can be high and would not recommend this surgery in its current status.

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