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Mesh Complications

These occur in 3-6.6% of Trans Vaginal Mesh surgeries. They include:

Hemorrhages:
Severe blood loss requiring blood transfusion.

Vaginal Wound:
A perforation of the vagina.

Rectal Wounds:
Accidental surgical incisions in the rectal area.

Lower Urinary Tract Symptoms:

Stress Urinary Incontinence de novo:
New onset SUI not present at baseline (pre- surgery). Use of transvaginal mesh nearly doubles the risk of de novo SUI in comparison to colporrhaphy. Some studies report rates as high as 24.3% of patients who underwent TVM surgery.

Voiding Dysfunction:
Persistent rectal pain/defecatory dysfunction. Reports range as high as 7% – 19.2% of women.

Urinary Retention:
The inability to initiate urination is experienced by up to 46.2% of women.

Defecatory Symptoms:

Fecal Incontinence:
A loss of regular control of the bowels. Involuntary excretion and leaking are common occurrences for those affected.

Constipation/Dyschezia:
Bowel movements that are infrequent and/or hard to pass.

Sexual Function:

Dyspareunia:
Painful sexual intercourse. As a de novo (new onset) complication, rates range as high as 36.3%; however, when the total rise in prevalence post-surgery is considered, the range can be as high as 69% of TVM patients.

Mesh-Related:

Mesh Erosion/Exposure:
The erosion or migration of the mesh when it is in direct contact with pelvic organs. Most erosions are complex, some of them in multiple sites, leading to effects such as pain, vaginal discharge, dyspareunia, fistulas and sinus tract formations. In clinical studies, mesh erosion rates have afflicted up to 30% of patients undergoing surgery for POP or SUI using trans vaginal mesh.

Shrinkage/Retraction/Contraction:
Contraction of the mesh fibers during the scarring process leads to the shrinkage of the mesh. This leads to vaginal scarring and shrinkage and fibrosis of surrounding tissue. Reported in up to 50% of women. Can lead to vaginal atrophy (inflammation of the vagina).

Infection: Vaginal infections due to mesh were reported in up to 18.4% of woman and can lead to complications such as:

  • Urinary tract infections: reported in 7-13% of women
  • Perianal abscess: A collection of pus that has accumulated in the perianal cavity due to an infectious process caused by a foreign material. It presents itself as a lump of tissue near the anus that grows larger and more painful with time.
  • Sinus tract formations: scarring, tunnels connecting the abscesses or infections under the skin.

Fistulas:
Abnormal connections/passageways between two organs that normally do not connect. In the case of TVM, the most common are rectovaginal (connecting the rectum and vagina) and vesicovaginal (bladder – vagina).

Granuloma:

A mass of immune cells that forms when the immune system attempts to wall off substances it perceives as foreign but is unable to eliminate.

Pelvic Cellulitis:
An inflammation of connective tissue in the pelvic region with severe inflammation of dermal and subcutaneous layers of skin.

Pelvic Hematoma:
A localized collection of blood outside the blood vessels with the tissue (can be an intra-operative complication). Rates of up to 6%.

If you have experienced a failure or complications from transvaginal mesh, you may be eligible for financial compensation for lost wages, medical bills and other expenses. Please contact the attorneys at Levin Simes LLP today at 1 (888) 426-4156 or by filling out the form on this page for a free consultation.