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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.
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 Cochrane review in 2016 stated that the risks were higher with such meshes compared to native tissue repair (using the patient's own tissues instead of mesh). [17] Transvaginal meshes have higher risk of repeat surgery, injury to the bladder, and stress urinary incontinence which appears after the surgery. [17]
Transvaginal mesh (TVM) implants – made from synthetic materials such as polypropylene – have been used to treat pelvic organ prolapse and stress urinary incontinence, but can cause ...
Results of a 2019 systematic review of urinary incontinence in women found that most individual, active treatments are better than no treatment. [9] Behavioral therapy, alone or combined with other interventions such as hormones, is generally more effective than other treatments alone. [10]
That, in addition to the lack of available data that transvaginal mesh products were superior to other forms of surgical intervention [18] and the expedited process which the vaginal mesh kits were introduced to the market, the FDA released a Safety Communication in 2011 that described serious complications associated with transvaginal mesh as ...
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