Posts Tagged ‘vaginal mesh’

First Vaginal Mesh Trial, Vaginal Mesh Lawsuit Victory, Ladies We Are Starting To Win The Battle

Written by Vaginal Mesh Helpline on . Posted in Vaginal Mesh Information

A $3.35 Million partial verdict was handed down in first vaginal mesh trial.  This is good news for women who have suffered from a vaginal mesh implant. The Vaginal Mesh helpline hears horror stories every day and we applaud our first victory as the pathway to help other women whose lives have been ruined by the Prolene mesh. Vaginal mesh lawyers have been watching and agee this is good news for future trials.

The jury declared that  Johnson & Johnson should pay a South Dakota woman $3.35 million for failing to adequately warn her doctor of the potential dangers of a vaginal mesh implant made by the company’s Ethicon Inc subsidiary, and for misrepresenting the product in brochures.  It is the first verdict among some 1,800 vaginal mesh cases pending in New Jersey against Ethicon and J&J, and can potentially  set the way for  thousands of lawsuits and trial outcomes against  manufacturers of vaginal mesh implants.

February 25, 2013

ATLANTIC CITY, N.J. — A New Jersey state court jury has handed down a partial verdict of $3.35 million against Johnson & Johnson (NYSE: JNJ) and its subsidiary, Ethicon Inc., at the end of the first pelvic mesh case to go to trial, Harris Martin Publishing is reporting.

In a Feb. 25 verdict, the jury found by a 7-2 vote that the manufacturers failed to adequately warn plaintiff Linda Gross’s implanting surgeon of the risks associated with the pelvic mesh and, additionally, that the device was the proximate cause of injury. By a 7-2 vote, the jury  was on our side.

We have been listening to 1000′s of women over months calling from all states and of all ages. Their marriages have been destroyed and they are suffering. The youngest was 33 and the oldest 86. We have heard from women, mothers, daughters, grandchildren , and friends for friends that are so debilitated they cannot come out of bed to call on their own. They need help from doctors and cannot afford surgeries to “Get the damn thing out”.

We demand justice on behalf of these women and are happy to see it is starting to happen. Can money change this? Atleast is will pay for medical care and send a message that manufacturers that use women to gain profits must end.

Mesh Lawyers are Filing Nationwide Mesh Lawsuits, The Mesh Trials Have Begun

Written by Vaginal Mesh Helpline on . Posted in Vaginal Mesh News

The Vaginal Mesh Helpline announces the mesh trials have begun. Mesh lawyers are filing mesh lawsuits in droves. The quantity is increasing daily. Soon we will see justice. We all know the monetary compensation will never be enough for the agonies I have heard from our callers but, it is a first step. The FDA has not removed the mesh from the market even to this date. We must send a message to these mesh manufacturers.

We will keep you posted on the  mesh lawsuit  with mesh trial updates

Many  makers of Mesh Implants have faced their first jury trials and the outcome was seven figure jury awards for women victims these cases. Mesh implant manufacturers face a large number of mesh lawsuits. We also want to remind women, if you have had the mesh removed you should get the mesh for preservation.

we have been listening to women for months about their mesh complications. Remember a mesh is a mesh:

Transvaginal Mesh,  or pelvic mesh, or  bladder sling, whatever product you want to call it, it is a Prolene mesh. The goal of our mesh helpline has been to reach any woman who has suffered a severe injury as a result of complications with a mesh Implant and help them file a  Mesh Lawsuit. In addition, husbands, children,and family  members of women may sue for wrongful deat and loss of consortium.  We want to hear from you.

 

 

 

 

 

 

FDA Approves Over The Counter Medication For Overactive Bladder, Vaginal Mesh Helpline Reports

Written by Vaginal Mesh Helpline on . Posted in Medical News and Your Vaginal Mesh, Vaginal Mesh News

At the Vaginalmeshhelpline.com we are always looking for new information to help our readers injured by the vaginal mesh. Many women have had the mesh implanted for urinary  incontinence. We just found this online and are sharing it. The FDA has  approved  Oxytrol for women.  This is an over-the-counter Oxytrol treatment for overactive Bladder. Of course we suggest discussing this with your doctor.

January, 25, 2013 — The U.S. Food and Drug Administration today approved Oxytrol for Women, the first over-the-counter treatment for overactive bladder in women ages 18 years and older.

Oxytrol will remain available for men with overactive bladder by prescription only.

Overactive bladder is a condition in which the bladder squeezes too often or squeezes without warning. Symptoms include leaking urine (urinary incontinence), feeling the sudden and urgent need to urinate, and frequent urination. Overactive bladder affects an estimated 33 million Americans, the majority of whom are older women.

Oxytrol for Women contains oxybutynin, a medicine that helps relax the bladder muscle. Oxybutynin belongs to a class of drugs known as anticholinergics. It is the first drug in this class to be made available over-the-counter for treatment of overactive bladder.

Oxytrol for Women is a patch that is applied to the skin every four days. The patch delivers 3.9 milligrams of oxybutynin per day.

 

“Studies demonstrate that over-the-counter Oxytrol for Women is a safe and effective treatment for overactive bladder,” said Shaw Chen, M.D., Ph.D., deputy director of the Office of Drug Evaluation IV in the FDA’s Center for Drug Evaluation and Research. “Women should make sure to follow the Drug Facts label and consult their doctor if their condition does not improve.”

 

Oxytrol for Women’s safety and effectiveness for over-the-counter use were established in more than 5,000 subjects participating in nine studies. Overall, results from these studies showed that consumers can understand the information on the label, properly select whether the product is right for them, and use the drug appropriately.

Side effects reported during clinical studies were mild and included skin irritation where the patch was applied, dry mouth and constipation. A leaflet with tips to help manage overactive bladder will be provided with the product.

Oxytrol for Women is marketed by Merck, based in Whitehouse Station, N.J.

Source: FDA

Posted: January 2013

A Vaginal Mesh is A Transvaginal Mesh is A Bladder Sling is a Horror Story

Written by Vaginal Mesh Helpline on . Posted in Vaginal Mesh News

They come under so many names manufactured by dozens of manufacturers but, the are all Prolene mesh and over 300,000 women have had them implanted. Some where aware of the implantation and others were just going in for a hysterectomy and came out with a mesh.

You have seen it on T.V and the lawsuits are being filed by the thousands as a multi district litigation consolidated in West Virginia for the most part. They are called a vaginal mesh, TVT sling, Transvaginal mesh, TVT, Bladder sling, pelvic mesh, Prolene mesh, surgical mesh, Bladder Neck Suspension Kit, SPARC Sling, MiniArc, Avaulta System, ProteGen Sling, ObTape, Desara Sling, IVS Tunneller I, Gynecare Prolift, TVT, Transvaginal Surgical mesh, Gynemesh, Polyform mesh, Apogee System, Perigee System, Pinnacle, and Advantage cystocele mesh, rectocele mesh, and are used for organ prolapse or urinary incontinence. Some women have one, some have two and some have three. Many have tried to get it removed only to find a new one has taken it's place. Women are in agony. Many can no longer work and others have seen their marriages fall apart. This Prolene mesh of many names makes it impossible to have rerlations without pain. Many women describe it as a knife cutting all the time. This is quite understandable as these synthetic plastic mesh placed inside a womens pelvic area are falling apart and eroding thru the vaginal wall. Many are eroding into the bladder and bowel causing a dangerous medical situation.

This mesh of many names has very severe complications. It can erode right thru the vaginal wall into the vaginal canal. Erode in it's simplest terms means cut right thru. The mesh causes relentless pain and infections that never stop. Many women have been on antibiotics for months on end which in and of itself is dangerous. The mesh can cause bleeding and the return of incontinence and prolapse with a vengence. This can be incontinence and re prolapse of the bladder or the bowel. There can be gastrointestinal problems, lower back pain, pain on one side, leg pain, neurological issues and the result is lives destroyed and severe emotional and psychological problems.

This mesh of many names has caused deaths. Some of these do to medical reasons and some do to choice in reaction to a sense of victimization that there appears to be no end to. Doctors are not listening, and if they have found one there is no longer insurance or funds for surgery. We have talked to women of all ages from 33 to 86. Who would put a mesh into a senior or a women still intent on having children is beyond me. We have spoken to women who have become pregnant with a piece of prolene mesh right there waiting for child birth. Some of it failing apart internally right in the pelvic region with very sharp edges.

With all the warnigs, stories and lawsuits the FDA has not recalled the mesh and many doctors are still putting it in. They believe the ones they put in will not fail. These are just not the ones that are falling apart. Somehow they are the magic doctor. Johnson and Johnson has pulled most of their Gynecare mesh products off the market under the Ethicon label and changed the labeling on one for warnings against vaginal implantation. However, this was just a business decision they say.  There was nothing wrong with the mesh at all.

Many names  yet, all a vaginal mesh.

  • A Mesh is A Mesh Is A Mesh
  • Pelvitex
  • Pelvisoft
  • Pelvilace or Pelvicol
  • Utrtex
  • Uretex TO
  • Uretex TOO2
  • Uretex TOO3
  • A Mesh is a Mesh is A Mesh     
  • TVT Exact
  • TVT Abbrevo
  • TVT Retropubic System
  • TVT
  • TVT Obturator
  • TVT Secur
  • Gynemesh PS
  • Prolift
  • Prolift+M
  • MiniArc Precise Single-Incision Sling
  • MiniArc Single Incision Sling
  • Monarc Subfascial Hammock
  • In-Fast Ultra Transvaginal Sling
  • BioArc
  • Sparc Self-Fixating Sling System
  • Elevate
  • Perigree
  • Apogee
  • Arise
  • Tyco Covidian Duo
  • Mentor ObTape
  • Coloplast Mesh
  • Pinnacle
  • Advantage Fit
  • Lynx
  • Prefyx PPS
  • Scientific Solyx

So many names, so many mesh so much pain and so much suffering.

If you have one of these mesh under so many different names it is still a mesh and you must come forward and fill your pelvic ,msh lawsuit immediately. The statute of limitations is running close. We cannot let anyone be left out. These mesh manufacturers must hear your voices and just must be sort for women everywhere with a mesh.

Coloplast Vaginal Mesh Lawsuits, Coloplast Vaginal Mesh Lawyer

Written by Vaginal Mesh Helpline on . Posted in Vaginal Mesh News

Vaginal Mesh Helpline is seeking women nationwide with a coloplast vaginal mesh to assist with locating a vaginal mesh lawyer for the Coloplast MDL vaginal mesh lawsuit. Leader ship roles have been assigned for lawyers in the coloplast MDL litigation.

Updated News On the Coloplast Vaginal Mesh

October 1, 2012 — Judge Joseph R. Goodwin has assigned leadership roles in the newly-formed Coloplast vaginal mesh Multidistrict Litigation (MDL). Three attorneys have been assigned Co-Lead Counsel roles on behalf of plaintiffs who were injured by Coloplast vaginal mesh. The MDL is currently located in the U.S. District Court for the Southern District of West Virginia.

After an MDL is formed, one of the first steps is assigning attorneys to play leadership roles. The Coloplast MDL was formed on August 6, 2012, by the U.S. Judicial Panel on Multidistrict Litigations (JPML). The JPML has assigned several vaginal mesh MDLs to Judge Goodwin’s court. The other MDLs are against manufacturers Johnson & Johnson (Ethicon), C.R. Bard, American Medical Systems, and Boston Scientific.

Judge Goodwin has already assigned leadership roles in the other MDLs. This includes a massive Plaintiffs’ Steering Committee, which involves 60 attorneys assigned various duties. He has also assigned several attorneys to coordinate common issues among the five MDLs. There may be matters of fact and legal issues that are common to the various litigations, and coordinating these issues may expedite the litigation.

Judge Goodwin has expressed his desire to expedite the Coloplast MDL as much as possible, to catch up with the other MDLs that are already proceeding.

On September 21, Judge Goodwin assigned three attorneys to serve as Co-Lead Counsel in the Coloplast litigation. One of these attorneys was  Mark Mueller, od Austin Texas. He  will have many responsibilities in the litigation, including speaking for plaintiffs during pre-trial proceedings, submitting and arguing motions, examining witnesses, introducing evidence, and more.

Coloplast Vaginal Mesh, Transvaginal Mesh Products

 

  • Novasilk – Synthetic Flat Mesh
  • Suspend – Tutoplast Processed Fascia Lata
  • Suspend – Tutoplast Processed Fascia Lata
  • Exair – Prolapse Repair System
  • Exair – Prolapse Repair System
  • Axis – Tutoplast Processed Dermis
  • Axis – Tutoplast Processed Dermis
  • Restorelle Smartmesh – Prolapse Repair System
  • Restorelle Smartmesh – Prolapse Repair System

SUSPEND VAGINAL MESH ALSO KNOWN AS A TRANSVAGINAL MESH: This is made from biologic human material and claims to integrate nicely into the human body to adequately treat POP, with little to no complications.

AXIS VAGINAL MESH: This is another product made from biologic material taken from the back of the leg. Again, they claim that it integrates well into the body to treat POP adequately.

NOVASILK VAGINAL MESH: This is a synthetic Transvaginal Mesh used to treat several types of POP. They claim that there are fewer complications because there is less material implanted than with other meshes.

EXAIR VAGINAL MESH: This is a polypropylene mesh used to reinforce a prolapsed pelvic floor.

 

Vaginal Mesh Helpline Expanded Outreach To the Largest Cities In the U.S

Written by Vaginal Mesh Helpline on . Posted in Vagiinal Mesh Class Action, Vaginal Mesh News, Vaginal Mesh Stories, Vaginal Mesh lawyers

The Vaginal Mesh Helpline is gearing up for what they feel is a second round outreach to some of the largest cities in the United States to inform women about the bladder mesh and vaginal mesh class action. "We expect a new wave of T.V ads by lawyers after the election and we are ready."" Women see lawyer ads on T.V and they have alot of questions".Says the helpline medical social worker"."They want to speak to someone they feel safe and comfortable with so they call us". "Women need to understand that they are not alone and the basic concepts of the vaginal mesh district litigation concept."

The vaginal mesh lawsuit proceedings have begun" We want all women to have the opportunity for compensation. We want you to get medical and legal help".Says the helpline representatives. "We have the staff and capacity to help women. We are reaching out to offer  support and guidance"."They just feel more comfortable with a  social worker then a law firm"

The MDL proceedings in West Virginia has begun  against six different vaginal mesh  manufacturers. The vaginal mesh implants cited in the lawsuit are Gynemesh, TVT, the Prolift system, Prolift+M, Prolene Mesh, and the Prosima system.

 Four vaginal mesh MDLs were established to consolidate the mesh lawsuits against these  manufacturers. All of the vaginal mesh MDLs are being overseen by Chief District Judge Joseph R. Goodwin of the U.S. District Court for the Western District of West Virginia. The first vaginal mesh bellwether trial is scheduled to begin on February 5, 2013. The Vaginal Mesh helpline is attempting to locate all women with complications from a vaginal mesh implanted after 2001.
 

The helpline is available 24 hrs, 7 days to help women nationwide. The outreach is starting with the largest cities and it will be quite the undertaking. We are impressed with their mission and especially the time that is spent with each and every woman caller.

This outreach is a massive undertaking for the Vaginal Mesh Helpline. Their mission is clear and they are ready. They expect to be adding 5-10 new cities a week until they have the major cities in the U.S covered.

The first round Vaginal Mesh Outreach  project will be launched in New York, Los Angeles, Chicago, Houston, Philadelphia, Phoenix, San Antonio, San Diego, Dallas, and San Jose,  This outreach is expected to be done in about a week to ten days.

Second vaginal mesh Outreach Campaign will include:Jacksonville, Indianapolis, San Francisco, Austin, Columbus, Fort Worth, Charlotte, Detroit,  and El Paso,

The Vaginal Mesh information launch will then continue to Baltimore, Boston, Seattle, Washington, DC, Denver, Milwaukee, Portland and, Las Vegas,

Additional vaginal mesh lawsuits  outreach launches  are in the works to commence before the end of the year and are slated for Oklahoma City, Albuquerque, Tucson, Fresno, Sacramento, Long Beach, Kansas City, Mesa, Virginia Beach, Atlanta, Colorado Springs, Omaha, Raleigh, Miami,  Cleveland, Tulsa, Oakland, Minneapolis, Wichita, and Arlington,

It is amazing how many women  are still wondering waht their complications are from and do not realize it is the mesh until they see a Lawyer ad on T.V. It also amazes us how few doctors there are willing to help and given that so many of these women have lost their jobs and health insurance there are no clinics or programs for them. That is why they must get their due compensation and help in the additional surgeries that they need.mesh,

Vaginal Mesh Lawsuit Alert, The Vaginal Mesh Proceedings Have Begun

Written by Vaginal Mesh Helpline on . Posted in Vagiinal Mesh Class Action, Vaginal Mesh News

Do You Have a Vaginal Mesh Lawsuit? Do You Need a Mesh Lawyer?

The vaginal mesh proceedings have begun as a part of the two primary MDL's in West Virginia and New Jersey. Vaginal mesh lead counsels are gearing up and dates have been set.

The  vaginal mesh federal and   state lawsuits are growing  as 1000's of filings  against the vaginal mesh manufacturers proceed and the number continues to grow as more and more women stand up for themselves against the manufacturers  who caused them so much pain and suffering. Federal vaginal mesh lawsuits have been consolidated into four multidistrict litigations (MDL) based on the manufacturer they’re filed against. Vaginal mesh MDL pretrial proceedings are moving in full force with Chief Judge Joseph R. Goodwin, United States District Court, WV, has set a trial date. As of October 2012, the number of suits filed against each manufacturer continues to increase rapidly:

  •     1,697 cases filed against AMS
  •     1,725 cases filed against Johnson & Johnson’s Ethicon division
  •     1,114 cases filed against Boston Scientific
  •     1,256 cases filed against C. R. Bard

July 2012, the first case presented to a jury resulted in a $5.5 million damage award in California state court, for a woman who experienced complications where her Bard Avaulta mesh sliced through her colon, causing her to undergo at least eight additional surgeries. Additional lawsuits are scheduled for trial in federal court beginning in February 2013.

The Vaginal Helpline is in full gear to locate any woman with a Prolene mesh filed after 2002 in states where the Statute has not run out.
 

How To Choose Your Vaginal Mesh Lawyer, Vaginal Mesh trials Have Begun

Written by Vaginal Mesh Helpline on . Posted in Vaginal Mesh lawsuit Lawyer, Vaginal mesh Lawsuits, Vaginal Mesh News

The vaginal mesh lawsuit has moved into the action stage. If you have been injured by a vaginal mesh the time to act is now. The statute of limitations for some state have run out. As the trials poceed and the facts come out it will be more important to have your lawsuit filed and with a law firm that understands the entire MDL process. Differemt criteria may start to develope and if you are not with the correct firm you may find a case rejection letter in your mailbox. Not all firms are using the same critieria. The stiffer the criteria becomes the more important the  firm you choose is. Some have much broader criteria then others. Some law firms want it clean and easy. They do not want more then one mesh implant, only one mesh with one manufacturer, no additonal surgeries or complications, no pressing merdical conditions and a variety of intricate criteria based on the way they see the case and the financial implications for the settlement. Other law firms are using a much wider criteria and still others are taking a case in a state where the statute is over to the state of the manufacturer.

Another important issue is how are your calls and concerns responded to. If your first and only contact is with a paralegal or "screener" that person is your contact person. That is the person that may be your only contact. They must understand the mesh and the suffering you have gone thru. If they can help you find a doctor I would give them an extra plus in the yes category. If they take your case strictly based on prior medical records wothout a doctor intervening on your behalf regarding your current situation it may be harder to prove your case. The best situation for you is a doctor who says it is the mesh and you need a revision of better yet, mesh removal. Having a good doctor is not only good for your case but, a medical necessity.

As the lawsuit proceeds more questions regarding your rights will develope and you will need answers. Interview the first line person.

That may be the most important person. Ask: Who will be my contact person? Has this lawyer ever done any mass tort cases? Has this lawyer been involved in the litigation of cases involving dangerous drugs and devices that harm women? What cases? To what degree?

Will my case stay with you? If it will not under what circumstances will it be referred to another firm? Remember, the MDL lawsuits will require your vaginal mesh lawsuit litigation taken to trial by one of the lead counsels. But, your lawyer can file the case and be the end of the line for the filing process. Do you need a lead counsel? Not everyone can be alead counsel. Some of the best lead counsels have inattentive, insensitive screening staff who really do not understand the mesh litigation at all. Some insensitive staff may  become very strong with you if you even raise the issue of switching lawyers.

If I do not feel my lawyer's staff is senstive to my concerns can I switch?

Yes, you can and there is no financial loss to you at all. If any law firm tells you otherwise they are just wrong and using tactics to keep you with them. That alone should be a sign to reconsider.

The most important thing is that you feel comfortable with the law firm, that they have mass tprt and MDL experience and do know the difference between an aut accident and dangerous drug and device fenseral case. They are not the same. The local lawyer you may pick for the highway accident may not be right for a mass tort. They may have no experience in mass torts and have no intention of wrking your case. They are looking for an experienced mass tort lawyer to send your case to. It may be the next guy that advertises on T,V who they do not even know.

In mass tort cases like the vaginal mesh lawsuit, local may not be the best move at all.  This is an MDL and is only being consolidated in certain states in front of a certain judge. It is not being heard in every state. It may never be litigated in your state. Local is just not all that important.

Fike you lawsuit right away and use care in selecting your vaginal mesh lawyer.

 

   
 

Botox New Hope For Urinary Incontinence, Vaginal Mesh Helpline Reports

Written by Vaginal Mesh Helpline on . Posted in Vaginal Mesh News

The Vaginal Mesh Helpline will keep you updated on all the most recent news. Our vaginal mesh network of lawyers is filing mesh lawsuits on behalf of women with a failed Prolene mesh. The mesh was used for urinary incontinence in 100's of women.

Published on Saturday 15 September 2012 21:02

Botox injections may help women with urinary incontinence, The Daily Telegraph has today reported. The newspaper said that injecting the muscle-freezing toxin into the wall of the bladder can have a long-lasting impact on overactive bladder syndrome, a major cause of incontinence.

The newspaper’s story is based on a UK medical trial that investigated whether the paralysing properties of botox were effective at reducing the symptoms such as frequently using the toilet, feeling an urgent need to urinate, and leakage in patients with overactive bladder syndrome.

The trial featured 240 women who had not responded to medical treatments for overactive balder syndrome. The researchers found that women who received the botox injection experienced these symptoms significantly less frequently than women who received a dummy injection of saltwater. However, women given botox were more likely to get urinary tract infections.

The results of the study indicate that botox may be effective in treating a common and upsetting health condition. However, if it does get adopted into use in this way there are several other treatment options (including lifestyle measures, bladder training exercises and medication that would be considered first. Botox may be considered as an option only if these treatments fail, and the benefits would have to be considered in relation to its potential harms.

 

Where did the story come from?

The study was carried out by researchers from the University of Leicester and was funded by the Moulton Charitable Trust and the women’s health charity Wellbeing of Women.

The study was published in the peer-reviewed medical journal European Urology.

The Telegraph covered this study appropriately, covering the study size and design, as well as the treatment benefits and harms.

 

What kind of research was this?

While it is hard to gauge the true scale of the problem, research suggests that around 13% of women in the UK may have some form of urinary incontinence. Although many conditions and factors can cause urinary incontinence, one major cause is overactive bladder syndrome. The condition is marked by uncontrolled contraction of the bladder that results in an urgent need to pass urine. While this can lead women to need the toilet frequently, some also experience a form of leakage called urge incontinence.

An overactive bladder can be a cause of urge incontinence, which is when urine leaks at the same time or just after you feel an intense urge to pass urine. Urge incontinence differs from stress incontinence, where the pelvic floor muscles are too weak to prevent urination. This causes urine to leak when your bladder is placed under pressure from actions such as coughing or laughing.

This was a placebo-controlled randomised controlled trial that examined the effectiveness and safety of using botulinum toxin (botox) as a treatment for overactive bladder syndrome. A randomised controlled trial is the best way to measure the effectiveness of a treatment, as the randomisation process helps to ensure that any patient characteristics that may influence the outcome have an equal chance of appearing in either treatment group. This allows researchers to be confident that any observed effect is due to the treatment under study.

 

What did the research involve?

The researchers enrolled 240 women with bladder muscle overactivity, or overactive bladder syndrome, that had not responded to previous treatment. The women were randomly allocated injections of either Botulinum toxin A (botox) or placebo (saltwater) into the wall of the bladder. Women with another common type of incontinence, stress incontinence, were not included in the study.

The participants kept a diary over three days, recording the number of times they:

    emptied their bladder
    felt an urgent need to empty their bladder
    experienced an unintentional passing of urine (or leakage)

The women also completed a questionnaire that assessed their quality of life, as overactive bladder syndrome often has a significant negative impact on patient quality of life.

The researchers conducted follow-up sessions with the women on average at six weeks, three months and six months after treatment. They assessed differences in the frequency of the above three symptoms between the two treatment groups. They also compared quality of life scores, treatment complications and time until troubling symptoms returned between the two groups.

The researchers used appropriate statistical methods to assess differences in frequency of symptoms between the two groups.

What were the basic results?

There were 122 women allocated to the botox treatment group and 118 women allocated to the placebo group.

The researchers compared the outcomes in the botox and placebo groups at the six-month follow-up. They found that in any 24-hour period women in the botox group:

    emptied their bladders less often: 8.33 times versus 9.67 times, a difference of 1.34 (95% confidence interval [CI] 1.00 to 2.33, p=0.0001)
    experienced fewer leakage episodes: 1.67 versus 6.00, a difference of 4.33 episodes (95% CI 3.33 to 5.67, p<0.0001)
    experienced fewer episodes of urgency to urinate: 3.83 versus 6.33, a difference of 2.50 episodes (95% CI 1.33 to 3.33, p<0.0001)

Almost a one-third of women in the botox group (31.3%) developed bladder control (or continence) following their treatment, compared to 12.0% in the placebo group (Odds Ratio [OR] 3.12, 95% CI 1.49 to 6.52, p=0.002).

However, urinary tract infection was reported at least once during six months by a one-third of women in the botox treatment group, compared to 10% in the placebo group (OR 3.68, 95% CI 1.72 to 8.25, p=0.0003).

Those given botox also reported greater difficulty emptying their bladders, which required self-catheterisation to remove their urine: 16% of the botox group compared to 4% of the placebo group (OR 4.87, 95% CI 1.52 to 20.33, p=0.003).

 

How did the researchers interpret the results?

The researchers concluded that injections of botulinum toxin A into the bladder wall is an effective and safe treatment for overactive bladder syndrome in women who have not responded to previous treatment.

 

Conclusion

Urinary incontinence can be a distressing and problematic condition, and although we cannot be sure of the number of people affected, research suggests it is surprisingly common.

While there is a range of potential treatments and ways to manage urinary incontinence (including medication, bladder training, lifestyle changes and surgery) not all people respond to them, and they can have problems. This randomised controlled trial provided good evidence that botox injections may be a useful treatment option for women with incontinence due to overactive bladder syndrome that has proven difficult to treat with other methods.

The researchers say that the relief of symptoms reported by the participants was considerably better than those who used oral anticholinergic drugs. These drugs act on the nerve supply to the bladder and are the standard medical treatment used for this condition. They add that other randomised controlled trials have reported similar effects.

The researchers say that since they designed their trial, other studies have published results that support using a lower recommended dose of botox for this type of treatment. Therefore, it is unclear if the same results would be found at this reduced dose. They also say that their study recruited participants with severe cases of overactive bladder syndrome, and that it is unclear if the treatment would be as effective in less severe cases.

It is important to note that the study participants did not have stress incontinence, which is a common cause of urinary incontinence. Therefore, the results of this study cannot be generalised to all women with symptoms of overactive bladder or incontinence, but can only be applied to those with diagnosed overactive bladder syndrome (or detrusor overactivity).

Botox is not routinely used by the NHS in this way, but if it were then it would probably be considered as an option only among women who have required specialist referral for their condition. This would be given after they had tried other treatment options first, which may include lifestyle measures and bladder training exercises in addition to oral medications. If these treatments fail, the benefits of botox would have to be considered in relation to its potential harms.

Vaginal Mesh Injury, What You Need To Do

Written by Vaginal Mesh Helpline on . Posted in Vaginal Mesh Information

The Vaginal Mesh  Helpline speaks to and hears from women daily regarding their mesh stories. These are all usually the same pain, complications, symptoms and suffering. More importantly there is usually doctor. Usuallyb there are many doctor visits. Doctor after doctor visits are happening to all types of medical specialties. What  resonates across most of these phone calls is doctors sending women for tests that show a lack of knowledge of the mesh.  The mesh has very basic symptoms that can effect the pelvic area, bladder, bowel, uterus, abdomen, lower back, legs and the entire body from the waist thru the legs and lower back. These are all classic mesh symptoms. The symptoms are being caused by mesh erosion and infection. Sometimes it is from perforation or an organ. But, The most important thing is getting a doctor that understands the mesh and is not afraid to admit you have a faulty vaginal mesh problem. You have had these symptoms for months, sometimes years and a T.V ad has just shead the light. "OMG" It is not in your head. You are a victim of a failed vaginal mesh.

 Step One:  Find a doctor with experience in mesh removal.

The most experienced are usually urogynecologists. In any event they must have experience in mesh removal for you to be sure they understand the problem

Step Two: Hire a lawyer before your statute of limitations runs out

Choose a law firm with experience handling surgical mesh lawsuits. Most firms should provide a free consultation where an attorney will discuss how the case would proceed should you decide to pursue legal action. The firm should have experience in mass torts and take youyr case on and individual contingency basis. They should be keeping your case and not referring it out. The usual and customary fee is 40%.

Step Three: Attempt to get your medical records

These are most likely obtained at the hosptial where the surgery was done. Do not be alarmed if your doctor is not thrilled at turning your records over. Your lawyer can help