Vaginal Mesh Removal
The use of vaginal mesh to treat prolapse in women has resulted in thousands of complications and lawsuits. If you’ve experienced complications due to the use of Vaginal Mesh, it’s essential that you seek the treatment of a doctor with experience in Vaginal Mesh Removal.
If you have undergone pelvic organ prolapse surgery with mesh or a sling surgery and now suffer from a mesh extrusion (vaginal exposure of mesh), vaginal bleeding, vaginal discharge, pelvic pain, groin pain, or pain with intercourse, you may want to consider removal of your vaginal mesh. Although some vaginal mesh manufacturers did inform surgeons that complications may require removal of all of the mesh, they neglected to tell the surgeons that this would probably be impossible. Mesh is a foreign body that creates substantial inflammation and scarring. This results in the mesh becoming scarred-in very close to important nerves and blood vessels. Hence, complete removal is rarely possible. The goal of a successful mesh removal surgery is to provide symptomatic relief while doing no harm.
Many patients referred to us for complications of transvaginal mesh achieve significant improvement with either vaginal or robotic surgery.
Transvaginal Mesh Excision
We make a small incision around the exposed material. The vaginal lining surrounding the exposed material is typically inflamed or infected. We hence always remove the effected tissues. We remove the exposed mesh and also approximately 1 cm of non-exposed mesh. It is our opinion that this mesh is colonized by bacteria and needs to be removed. Additionally, we do not want mesh anywhere near the incision we will be closing. Although some physicians do this in their office, we are of the strong belief that the best result occurs when this is performed in the operating room where we have great lighting and can keep you comfortable. The success of this procedure is predicated on both removing infected mesh, inflamed mucosa, and closing the incision without tension. In order to do this we sometimes mobilize surrounding healthy tissue (flap surgery). Trans-vaginal mesh excision is an approximately fifteen minute procedure. The following day you can drive and return to work.
Transvaginal Mesh Release
We will perform a gentle but thorough vaginal examination. Almost always we can identify the area or areas of mesh associated with your pain. Gentle pressure on these areas often duplicates your pain. The vast majority of the time we find that the pain is caused by an area of mesh that has contracted and is under tension, pulling on your muscles and nerves. We will then take you to the operating theater and, under general anesthesia, create an incision over the previously identified area of mesh. We very carefully expose the mesh and cut the tight band of PPM. The release of tension is immediate and obvious. Many patients tell us that they notice an improvement the moment they awake from surgery. The mesh lies extremely close to nerves that are vital to walking. Unfortunately this proximity to important nerves can sometimes prohibit a successful surgery.
Robotic Mesh Excision
This is our procedure of choice when your mesh extrusion is high up in the vagina. We make a series of small, fingernail sized, incisions in your abdomen, and utilize the da Vinci Robot to excise the exposed vaginal mesh. We remove an additional one centimeter of mesh. It is our opinion that this mesh is colonized by bacteria and needs to be removed. Additionally, we do not want mesh anywhere near the incision we will be closing with the robot. We have over a 90% success rate with this outpatient surgery. You can drive and return to work the next day.
Robotic Mesh Release
Gentle office examination is used to help identify areas of mesh under tension. When such areas are difficult to reach through a vaginal incision, or if you have failed a previous vaginal surgery to treat your mesh pain, or if your mesh lays to close to vital or blood vessels of the pelvis to allow a blind vaginal surgery, we will preform a robotic release. You will be taken to the operating theater and placed under general anesthesia. We will then make a series of fingernail-sized incisions in your abdomen. We will then utilize the da Vinci robot to macroscopically identify and cut the areas of tense mesh. The release of tension is immediate and obvious. Many patients tell us that they notice an improvement the moment they awake from surgery. The majority of patients experience significant relief with Robotic Release.
Disorders Vaginal Mesh Release Removal Works For
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