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Transvaginal mesh, also known as vaginal mesh implant, is a net-like surgical tool that is used to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI) among female patients. The surgical mesh is placed transvaginally to reconstruct weakened pelvic muscle walls and to support the urethra or bladder. [1] [2] A number of mesh ...
The procedure consists of attaching the vaginal vault to the sacrum. It has a success rate of 90%. [32] Some women choose not to have surgery to close the vagina. This surgery, called colpocleisis, treats cystocele by closing the vaginal opening. This can be an option for women who no longer want to have vaginal intercourse. [22]
Transvaginal mesh (TVM) has a greater risk of bladder injury and of needing repeat surgery for stress urinary incontinence or mesh exposure. [17] The use of a TVM in treating vaginal prolapses is associated with severe side effects including organ perforation, infection, and pain. Safety and efficacy of many newer meshes is unknown. [16]
A urethral bulking injection is one type of treatment for incontinence in women. Urethral bulking injections are considered by a clinician when the woman has urinary sphincter dysfunction, urethral hypermobility, persistent stress urinary incontinence after a urethral sling or urethropexy, or stress urinary incontinence in women who cannot undergo surgery due to other illnesses or conditions.
A urethral sling is a surgically implanted device that stabilizes pelvic tissues and organs of women. The surgery that implants this device can help treat urinary incontinence and uterine prolapse. An alternative treatment to the placement of the urethral sling is urethral bulking injections .
Generally, mesh may be considered in instances where the connective tissue is weak or absent, if there is an empty space at the surgical site that needs to be bridged, or if there is a high risk of prolapse recurrence. [2] Synthetic mesh is indicated and used for sacrocolpopexy and sacrohysteropexy procedures. [2]
Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. [1] Urinary incontinence is common in older women and has been identified as an important issue in geriatric health care.
Urogynaecologists manage women with urinary incontinence and pelvic floor dysfunction. The clinical conditions that a urogynecologist may see include stress incontinence, overactive bladder, voiding difficulty, bladder pain, urethral pain, vaginal or uterine prolapse, obstructed defecation, anal incontinence, and perineal injury.