The transvaginal mesh was designed to be a permanent fix for pelvic Floor problems but, the product did not work for 1000′s of women and surgical mesh lawsuits are being filed in a consolidated lawsuit against the manufacturers
Pelvic Floor Dysfunction and The Transvaginal Mesh
If you have had a weakening of your pelvic floor muscles resulting in incontinence, pelvic organ prolapse, or pelvic pain your doctor may have suggested you consider the transvaginal mesh implant. You may have lost your vaginal tissue strength following childbirth and have pelvic organ prolapse.
Injury To The Pelvic Floor
Other reasons for your weakened pelvic floor and your vaginal mesh implant may be because of impact trauma, muscular trauma, fascial tearing, lack of estrogen, sexual abuse, obesity, medications, and musculoskeletal or genetic factors. Whatever the reason the mesh is failing in thousands of women and surgical mesh lawsuits are being filed.
What Is Urinary Incontinence?
Incontinence is an involuntary leakage of urine, which can occur when there is more pressure in the bladder than in the sphincter. The various types of incontinence include: Urge incontinence, Stress incontinence, Mixed incontinence, stress incontinence, Overflow incontinence , Reflex incontinence , Functional incontinence and Enuresis. The implanted mesh would have helped with all of these had it actually worked.
What is Pelvic Organ Prolapse?
When your organs fall out of position you can have a bulging feeling in the vagina that worsens as the day progresses because you are standing against gravity.
Types Of Pelvic Organ Prolapse The Transvaginal Mesh Was Used For
Cystocele – The bladder bulges into the vagina through the tissue between the bladder and vagina, causing the bladder to come down into the vagina. The mesh was placed to lift and hold this in place.
Rectocele – The back wall of the rectum bulges into the front wall of the vagina and can cause a feeling of increased pressure and difficulty moving bowels. A mesh was used to correct this problem.
Urethrocele – The tissue between the vagina and the urethra weaken, causing the urethra to move into the vagina. Your mesh may have been implanted to correct this
Uterine prolapse – The uterus slips into the vagina, causing a bulging sensation. This is the most common reason for women getting an mesh implant.
Enterocele – Organs such as the small intestine can bulge through the vagina. This is more commonly seen following a hysterectomy. Many women have found a mesh implant after a hysterectomy and this mesh is now failing.
What are the symptoms of pelvic floor dysfunction you are having now that your mesh has failed?
- painful sexual relations
- Lower back pain
- Urinary urgency and frequency
- Pain in the lower back radiating to the legs, thighs, groin and hips
- Abdominal pain
- Vaginal or rectal pain
- Pain with urination or defecation
- Pressure or a falling-out feeling
- Involuntary loss of urine or stool
- Pain with daily activities; sitting, walking, standing
- Burning, itching, stinging and other signs of infection
- Difficulty initiating a urinating
What caused my pelvic floor dysfunction to begin with?
The cause of pelvic floor dysfunction is unknown but is likely a combination of events. A wise colleague of mine once described it as a glass being filled with water that eventually overflows. There are numerous traumatic events that contribute to the filling of water in the glass. The event that causes the water to overflow can be as simple as a cough or a urinary tract infection. This overflow is recognized as the breaking point in the system that leads to the development of pain or dysfunction. Events that have been correlated with the development of pelvic floor dysfunction include:
• direct physical trauma; surgical procedures, sports injuries, fractures, sudden severe muscle strain, car accident, pregnancy or complicated delivery
• repetitive minor trauma, chronic cough, constipation, straining to void
• chronic tense holding patterns that develop in childhood as a result of sexual abuse, traumatic toilet training, abnormal bowel patterns, stress or sports training.
• chronic hip and back pain and causing compensation patterns of the pelvic floor
• inflammation of the pelvic organs such as urethritis, cystitis, vaginitis, prostatitis and endometriosis.
• Chronic faulty posture and weak core musculature
Where are the pelvic floor muscles and what do they do?
The pelvic floor is a hammock-like web of muscle and connective tissue that covers the pelvic bones and supports the rectum, bladder and vagina. A functioning pelvic floor is integral to increases in intra-abdominal pressure, provides rectal support during defecation, has in inhibitory effect of bladder activity, helps support pelvic organs, and assists in lumbopelvic stability. Coordinated release of the sphincters within a supporting extensible levator ani allows complete and effortless emptying. The pelvic floor muscles also contribute to one’s sexual appreciation.
Who develops chronic pelvic pain?
Chronic pelvic pain (CPP) is one of the most common medical problems affecting women today. It is estimated that 14.7% of women in their reproductive ages reported chronic pelvic pain. Extrapolating to the total female population gave an estimate of 9.2 million women suffering from CPP in the United States alone. The diagnosis and treatment of CPP accounts for 10% of all outpatient gynecological visit and 40% of all laproscopic surgeries. Chronic pelvic pain is listed as the indication for 12-16% of hysterectomies performed in the United States, accounting for 80,000 procedures annually.