Dr In Vero Beach Florida Treating Mesh Complications

Vaginal mesh Helpline is always seeking new information for women with vaginal Mesh Complications. We found this information from a  a Dr in Vero Beach Florida

Treating Mesh Complications
Transvaginal Mesh Complication Treatments

Dr. Zipper continues to treat mesh complications from across the country. Secondary to the high volume of mesh used in the state of Florida, Dr. Zipper has extensive experience in the surgical correction of mesh complications. Dr. Zipper's innovative methods are minimally invasive and are typically completed as short outpatient surgeries.

"Most mesh complications are easily treated as long as the surgeon understands how to correct the problem and is willing to bring the patient back to the operating room. Most mesh complications should not be treated in the doctor's office," states Dr. Zipper.

Mesh Extrusions (Erosions):
This is the most common complication of transvaginal mesh placement. In simple terms, the mesh breaks through the incision or intact vaginal lining. This results in symptoms such as bleeding, vaginal discharge, odor, and often scratching of the male partner with intercourse. This is easily treated by removal of the exposed mesh and injured surrounding vaginal tissue. Although it may require more than one procedure to fix, skilled surgeons successfully treat over 90 percent of their patients with a single surgery.

Dr. Zipper was the first surgeon in the country to utilize the Plasma Blade to treat mesh extrusions. The Plasma Blade is a unique surgical instrument that replaces the scalpel. It utilizes the fourth state of matter, plasma energy, to dissect out the mesh and remove injured surrounding tissue. It causes much less damage then traditional cautery devices and is associated with less bleeding than a scalpel.

Constipation is most likely secondary to how the mesh is placed and not the material itself. Constipation typically occurs when the surgeon places a piece of mesh that is too small or too tight. This pushes down on the rectum and causes severe constipation.

Occasionally, there will be some stretching of the mesh attachment points and constipation will improve. However, when constipation persists beyond two months, Dr. Zipper recommends surgical correction of the mesh.

Surgical correction of mesh-related constipation is accomplished by cutting one or both of the high mesh attachment points. This is a simple outpatient surgery performed through the original vaginal incision. Although there is a risk of rectal injury, this is uncommon in the hands of a skilled surgeon.

Pain is the most difficult to treat. Pain most likely secondary to how the mesh is placed and not the material itself. Pain is typically caused by mesh being too small/tight or attachment of the mesh near the pudendal nerve. It is not uncommon to have rectal and groin discomfort for several weeks following surgery. The early use of anti-inflammatory agents such as Mobic as well as special stretching techniques are often helpful. Severe pain, pain persisting beyond two months, and/or pain radiating down the leg merits more aggressive intervention by the surgeon.

Surgical correction of pain is most successful when the pain is related to tension (the mesh being too tight and pulling on the muscles and ligaments of the pelvis). Under such circumstances, the surgeon may open the original incision and cut the high attachment points of the mesh. This often leads to an immediate resolution of rectal pain, groin pain, and pain radiating down the leg. Although there is a risk of rectal injury, this is uncommon in the hands of a skilled surgeon. In cases where the mesh is not under tension, treatment of pain can be difficult. These patients may benefit from injections of the pudendal nerve and/or surgical release of an entrapped pudendal nerve. The later is performed by only a handful of surgeons across the U.S.