Physician Groups Address Transvaginal Mesh Complications
The American College of Obstetricians and Gynecologists and the American Urogynecologic Society have come out with strong recommendations against the use of Transvaginal Mesh for the majority of women.
In a joint Committee decision issued Tuesday, the groups said that due to concerns about the safety and efficacy of synthetic mesh placed vaginally for the treatment of pelvic organ prolapse (POP), its use should be reserved for high-risk women for whom the benefit may justify the risk.
The groups also say there is an urgent need for the development of a national registry to track outcomes for all current and future patients who receive vaginal mesh implants.
The uterus, bladder, urethra, small intestine, rectum, and top of the vagina are held in place by the pelvic floor muscles and connective tissues. “When these muscles become torn or stretched, pelvic organs can drop down and bulge into the vagina causing pelvic organ prolapse,” Cheryl B. Iglesia, MD, former chair of The College’s Committee on Gynecologic Practice, told health canal.com.
The two groups recommended that doctors continued to audit and review of outcomes as well as the development of a surveillance registry for all current and future vaginal mesh implants. They also advise surgeon training for vaginal mesh placement specific to each device, including surgical experience with reconstructive surgery and thorough understanding of pelvic anatomy; and rigorous comparative effectiveness trials of synthetic mesh and native tissue repair and long-term follow-up
The Vaginal Mesh receives emails and phone calls from women nationwide regarding horrors of their vaginal mesh experiences. The stories are of pain and suffering, lives ruined and marriages destroyed. They go to doctors who send them away and tell them they are imagining things. The doctors are generally insensitive and women are having trouble getting the mesh device removed. The vaginal mesh helpline Is available for women to get Legal help ans well as medical help.
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