At The Vaginal Mesh Helpline we are always on the lookout for help for women who are looking for alternatives to the bladder slings and vaginal mesh devices that have been causing severe complications in women. Below is an article we found that reviews some of the various techniques.
Vaginal Mesh News, Urinary Incontinence, Bladder sling Alternative
For women with Urinary incontinence we found these alternative procedures to the vaginal mesh and also the Bladder Sling. The Vaginal mesh has been the focus of many lawsuits and controversies. J&J just pulled four Gynacare products off the market and changed the label for the fifth just recently. Below is an overview of procedures.
BACKGROUND: Stress urinary incontinence (SUI) is the most common type of urinary incontinence, affecting 15 million women in the United States alone. SUI is the involuntary leakage of urine which occurs during periods of increased intra-abdominal pressure (“stress”).
CAUSE: The primary cause of SUI is inadequate support of the bladder resulting in leaks during activity. SUI affects women of all ages, including approximately 25% of women age 30-59 years, particularly those who have delivered at least one baby vaginally
Other factors that may worsen stress urinary incontinence include: urinary tract infection, obesity, smoking, diabetes, excessive consumption of alcohol or caffeine, and sports like running or tennis. (Source: Mayo Clinic
COMMON SYMPTOMS: If you have SUI, you may experience urinary leakage when you: cough, sneeze, laugh, stand up, lift something heavy or exercise.(Source: Mayo Clinic)
Injectable bulking agents: Collagen, synthetic sugars or gels may be injected into tissues around the upper portion of the urethra. These materials increase pressure on the urethra, improving the closing ability of the sphincter. Because this intervention is relatively noninvasive and inexpensive, it may be an appropriate treatment alternative to try before other surgical options.
Open retropubic colposuspension: This procedure is often used to treat women with stress incontinence. Sutures attached either to ligaments or to bone lift and support tissues near the bladder neck and upper portion of the urethra.
The Controversal Sling Procedure In this procedure most often performed in women, the surgeon uses the person’s own tissue or a synthetic material to create a “sling” that supports the urethra. Slings for men are used less frequently, but this surgical approach is under investigation. A recently developed technique using a mesh sling has proved effective in easing symptoms of stress incontinence in men. (Source: Mayo Clinic) This procedure has been the central focus of thousands of vaginal mesh lawsuits.
RENESSA: Renessa is a non-surgical treatment for women who experience SUI. The Renessa treatment uses a small device which your physician passes through your urethra. It involves the controlled heating of microscopic tissue sites at the base of your bladder, after which the device is immediately removed.
There are no catheters, bandages or dressings to change. It takes about 45 minutes. The full effect of treatment is typically seen within 60-90 days.
We have heard so many horror stories regarding the sling that we gasp at the thought of anyone opting for that as this point. However, a Urogynecologist may be able to offer you an opionion and alternate procdedure.