Vaginal mesh complications

Symptoms of a Transvaginal Mesh Problem

Complaints about problems from transvaginal mesh surgeries started as far back as the early 1990s. Reports about problems related to the use of vaginal mesh systems and bladder slings became common enough that the Food and Drug Administration (FDA) issued a public health notification in 2008. It discussed known problems related to transvaginal mesh systems.

The FDA updated its transvaginal mesh advisory in 2011 and 2012 based on an increase in the frequency of post-surgery complications. At least 33 manufacturers of transvaginal mesh products were ordered to conduct post-market safety studies in order to determine the frequency and extent of complications with their products.

As with most medical devices that cause complications, individual symptoms and problems related to the implantation of a transvaginal mesh system can vary. However, the following signs and symptoms may suggest post-surgery complications:

• A recurrence of pre-surgery problems such as urinary incontinence
• Vaginal bleeding
• Vaginal infections
• Constipation or difficult bowel movements
• Pain during sex
• Vaginal discharge
• Pain in the lower back
• A sensation of something protruding from the vagina
• Bladder outlet obstruction
• Urine leakage
• Mesh erosion
• Abdominal pressure
• Recurrence of dropped organs
• Chronic Infection.

Problems or complications associated with transvaginal mesh are typically a result of the mesh’s failure to bond properly with the vaginal tissue and/or mesh erosion. Mesh erosion is one of the most common issues found in post-surgery patients. Unfortunately, this is also one of the most dangerous complications.

Mesh erosion, or mesh extrusion, happens when the edges of the mesh protrude through the vaginal lining and into nearby organs. The edges of the mesh material can be very rough, meaning that serious damage can occur if they perforate nearby organs. FDA findings have also indicated that the mesh may contract once inside the body, causing tightening or shortening which can be very painful. Moreover, it is thought that the mesh itself may interfere with the body’s healing process, adding to the chance of infection or complications.

Although the FDA’s investigation into transvaginal mesh systems is ongoing, information compiled to date has resulted in the following conclusions:

• Transvaginal mesh repairs introduce more risks than traditional non-mesh repairs.
• There is no evidence that mesh used for repairs on the top or back wall of the vagina provide any added benefits compared to traditional surgeries without mesh.
• A transvaginal surgical repair to correct a prolapse may not cure symptoms of prolapse.