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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]
persistent stress urinary incontinence; infection of the device leading to removal; recurrent incontinence from either device failure or atrophy of the urethral tissues (in which case further surgery can remove the old device and replace it with a new one). The overall reported complication rate in males is 37%. [38]
Stress urinary incontinence is the other common type of incontinence in men, and it most commonly happens after prostate surgery. [19] Prostatectomy , transurethral resection of the prostate , prostate brachytherapy , and radiotherapy can all damage the urethral sphincter and surrounding tissue, causing it to be incompetent.
Originally, injectable bulking agents were used to treat stress urinary incontinence in females. [4] The procedure aimed to bulk out the tissues of the neck of the bladder, and it was successful. [5] The technique was first used for FI in 1993 by an Egyptian surgeon. [6]
Doctors usually suggest surgery to alleviate incontinence only after other treatments have been tried. Many surgical options have high rates of success. Less-invasive variants of the sling operation have been shown to be equally effective in treating stress incontinence as surgical sling operations. [15] One such surgery is urethropexy.
Transvaginal meshes have higher risk of repeat surgery, injury to the bladder, and stress urinary incontinence which appears after the surgery. [21] They concluded that transvaginal meshes have limited benefit in the primary surgical management of pelvic organ prolapse and stress urinary incontinence. [21]
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