Mesh is a foreign material implanted to help support the walls of an organ. It can be used all over the body, however, the vagina behaves particularly different relative to the rest of the body. Accordingly, mesh introduced and placed through the vagina has been noted to be associated with a higher complication rate, especially if the implant was not indicated in the first place or if placed by less experienced surgeons. Mesh complications include chronic pelvic pain, pain with intercourse, sexual dysfunction, mesh erosions and extrusions (mesh gets exposed or moved into an organ it was not intended to be in).
The FDA issued a warning July 13, 2011. This warning targeted mesh placed through the vagina. Multiple products have been taken off the market accordingly; however, many products still in use are being studied and monitored by the FDA. Mesh has been proven useful in patients with recurrent prolapse of the anterior compartment (cystocele), however it is still unclear if the use of mesh is more beneficial or not relative to traditional non-mesh (native tissue) prolapse repair techniques – due to the potential for complications with mesh when comparing the risk for recurrence of prolapse with non-mesh prolapse repairs.
Our physicians have treated hundreds of patients with mesh complications. Their experience involves medical and surgical treatments such as removal of mesh.