Negative Reactions of Trans-vaginal Mesh Procedures Reported to the FDA

A clinical procedure called Trans-vaginal Mesh Implantation is done by medical professionals for women suffering from Pelvic Organ Prolapse  (POP) and Stress Urinary Incontinence (SUI). The doctor usually inserts an artificial mesh that has a structure called trocar and is made from absorbable or non-absorbable materials such as polypropylene and polyester. The procedure is done by pushing the trocar to a more secure connective tissue, making it more firmly attached to support the vaginal wall, and then suturing it for a permanent anchor.

Even though TVM is said to be effective in the management of patients with POP and SUI, there has been more and more negative reactions reported to the U.S. Food and Drug Administration (FDA).

Trans-vaginal mesh erosion is one of the most frequently reported negative reactions.  According to studies, mesh erosion may entail multiple surgeries to restore, and sometimes, these surgeries can’t even reduce the complications making it more incapacitating to patients.

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. Recently, she cannot even bear sitting down longer than 20minutes, and it made a negative impact on her once active lifestyle.

No limitation about the use of Trans-vaginal mesh was forced by the FDA, but it continually informs licensed professionals involved that in most cases POP and SUI can possibly be repaired without mesh.  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 undergone Trans-vaginal mesh implantation, and are experiencing any unusual conditions like vaginal bleeding, excruciating pain, difficulty in urinating, and painful sexual intercourse, do not delay in seeking professional advice immediately.  Routine checkups are imperative and should be strictly observed.  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:

medscape.com/viewarticle/746285

medicinenet.com/script/main/art.asp?articlekey=144301

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