Vaginal Mesh Complications & Removal Options
Vaginal mesh implant removal is, for many women in the UK, more than a medical procedure; it’s an opportunity to regain comfort, confidence and agency over their health. Vaginal mesh implants, initially devised to address pelvic problems, have sometimes done more harm than good. Women are becoming increasingly aware of these implants and more willing to seek a specialist assessment for possible removal.
Typical causes for removal of a vaginal mesh implant include ongoing pain, erosion of the mesh, and problems with the bladder or sex life. The decision to explant should never be made in haste, which is why it’s important to consult with a reputable specialist. At Chase Lodge Hospital we aim to offer caring, tailored advice to guide women on this challenging journey.
What Is the Vaginal Mesh?
Now, many are asking, what is the vaginal mesh? A vaginal mesh is a medical implant that is typically made from polypropylene plastic or biologics, designed to shore up damaged pelvic tissue. It’s widely used to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI) – two conditions in women that often result from childbirth, surgery or menopause.
There are various types of mesh, for example transvaginal mesh and transabdominal mesh and each is implanted differently. Although originally intended as a permanent lifeline, the results varied widely among different patients, causing increasing scrutiny and alarm.
Vaginal Mesh Surgery and Its Intended Purpose
Once hailed as a breakthrough treatment, vaginal mesh surgery. The procedure entails threading the mesh through the vaginal wall to hold up organs like the bladder, uterus or rectum. It’s usually performed under general or spinal anaesthesia, and most patients go home the same day.
Patients and gynaecologists found that healing times after vaginal mesh surgery were also quick, which made it simple candidate for both. But as the side effects were more widely reported, health bodies, such as the NHS and MHRA, started to review its safety and use.
Common Vaginal Mesh Problems
Unfortunately, many women have suffered from complications from vaginal mesh after the surgery. These may include:
- Chronic pain in or around the pelvis
- Repeat UTIs
- Mesh erosion – the material slices through the vaginal tissue
- Pain when you have sex (dyspareunia)
- Affective symptoms: Emotional distress, depression and anxiety
They can seriously impact quality of life, relationships and stress, which is why early diagnosis and care are critical.
Recognising Vaginal Mesh Issues Early
Knowing about vaginal mesh problems can prevent further injury. Warning signs include:
- Chronic pelvic or low back pain
- Pain or difficulty urinating or urgency to urinate
- Abnormal vaginal discharge or bleeding
- Pain during sex or movement
And if you have had transvaginal mesh surgery and notice any of these symptoms, it’s crucial you see a specialist right away. The sooner the treatment, the better the chance of control of the disease and decreasing complications.
When Vaginal Mesh Implant Removal Becomes Necessary
In a few instances the vaginal mesh implant will need to be removed, due to complications or unsuccessful outcome. Conservative treatments, such as physiotherapy, medication or local interventions (for the arm or leg, for example) may be attempted first. However, when those methods fail or if the mesh has migrated or is eroded, surgical removal is the only option.
The mesh employed, the general state of the patient and severity of complications will determine the therapeutic approach. And that’s why individualised care is so important.
The Vaginal Mesh Operation for Removal
Vaginal mesh removal surgery can be complicated. It can be done in part or in full, depending on how deeply the mesh is embedded and what symptoms it’s causing the patient.
Complete extraction is more difficult to perform and has a higher risk of complications such as haemorrhaging and additional tissue damage. It may take a few weeks to recover and proper follow-up care is needed for best results. Our experts at Chase Lodge Hospital have the experience of handling the kind of delicate surgery.
Side Effects of Vaginal Mesh
Vaginal mesh side effects can still occur post surgery. These include:
- Ongoing pain or nerve damage
- Bladder or bowel dysfunction
- It may also be caused by mobility restriction or muscle weakness
Rehabilitation and follow up for the long term could be necessary. Psychosexual counselling and pelvic floor therapy may also assist emotionally and physically.
Must Read: What is a Pelvic Inflammatory Disease
Understanding Vaginal Mesh Litigation
Vaginal mesh litigation is now receiving national and worldwide attention because of the high rate of serious complications involved. Thousands of women have sued over injuries from mesh implants, with courts finding that many cases represented damages related to that harm and failure to seek consent.
In turn, stricter rules have been implemented. If you suspect you have been affected, it might be worth researching your legal rights while you focus on getting your medical care.
Moving Forward: Consulting a Specialist
Whether you are in pain or just want to know what your options are, the earliest step toward peace of mind is to see a specialist. That said, some questions to ponder:
- Should I have these symptoms removed?
- What are the risks and the recovery?
- What are other treatment options?
Here at Chase Lodge Hospital, our professional and caring staff are on hand to discuss all the options with you so you feel knowledgeable and empowered to make the best decision for your health.
Conclusion
The road to vaginal mesh removal can be a long and difficult one, but with the right treatment relief and recovery may be possible. Whether you have symptoms that persist or are just looking for peace of mind, do not put off receiving the assistance you deserve.
Schedule an appointment with our doctors to discuss your options or examine your case.
More information can be found on the websites of reliable sources such as the NHS or you can get in touch with Chase Lodge Hospital. We want to help you find clarity and ease whatever you may be feeling.
