Surgical mesh is a woven fabric used for chest wall reconstruction, strengthening tissues, provide support for internal organs, and to treat surgical or traumatic wounds. The fabric is usually made of polypropylene or some other polymer, although a titanium mesh has been used in some back surgeries. There are however, several types of surgical mesh where it has been reported that erosion is the most reported surgical side effect of those devices.
A common type of surgical mesh is called transvaginal mesh. One of the common uses of transvaginal mesh is for the treatment of pelvic organ prolapse (POP). This condition occurs when one of the pelvic organs; the bladder, uterus, bowel or rectum, drops from its normal position and begins to push against the vaginal wall. This can happen when the muscles and connective tissues which hold the organs in place have become weakened. If it is deemed that surgery is necessary, a transvaginal mesh is sometimes inserted through an incision in the vaginal wall to provide additional support for the affected organ.
According to the Food and Drug Administration (FDA), there are potential difficulties adversely affecting the health of the many patients caused by transvaginal mesh. These difficulties can include errors that occur during surgery, and effects on estrogen levels.
On August 1, 2010, a study whose researchers reported that a clinical study of transvaginal mesh unit had to stop because of the difficulties that many women were having during the trial. Sixty-five women were to deploy the surgical transvaginal mesh. Of the 65 women, 15 percent are exposed to more complex, more serious corrosion to the protrusion of the mask and the breakdown of tissues.
Vaginal mesh erosion and related vaginal scarring can potentially lead to discomfort and pain. Some patients need additional surgery to remove the mesh, there has also been reports of even several surgeries being required to remove all of the mesh. Injuries to adjacent organs, such as the bowel, bladder, and blood vessels have also been reported to FDA. These injuries have lead many women to file for a vaginal mesh lawsuit. The FDA urges women to discuss with their physician the pros and cons of using mesh for their particular stress incontinence problem.
References:
http://urology.about.com/b/2009/11/06/fda-dear-doctor-letter-serious-complications-of-transvaginal-mesh-for-fallen-bladder-stress-urinary-incontinence.htm
http://www.providence-health-plan.com/transvaginal-mesh/
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