Physical therapy and medical therapy are also used to help address mesh-related issues. Medication such as estrogen can help rebuild the vaginal wall and treat minor cases of erosion. Physical therapy can help with abdominal or pelvic pain. However, for some, these treatments are not enough. These women could even undergo surgery to attempt removal of the mesh. Read more
We can help remove the vaginal mesh. Dr Kella typically does not replace the mesh after the surgery.
Sometimes, the original problem leading to the mesh placement may return. Once the mesh problem is fixed and the tissue heals, any new problems can be assessed. Dr Kella may recommend laser therapy to help fix vaginal atrophy or mild incontinence. This could help revitalize vaginal tissue and avoid future surgery.
Vaginal mesh was hailed as an easier way to fix women’s leakage and prolapse. Industry aggressively courted surgeons to implant mesh. In 2010, nearly 300,000 transvaginal mesh surgeries were performed. Some of these surgeries led to poor results.
Women have requested removal of mesh due to erosion, chronic pain and sexual dysfunction.
We have developed a significant expertise with this procedure. At The Urology Place, Dr Kella typically removes mesh after conservative measures have failed. Pelvic floor therapy and estrogen are useful tools to try before surgery. With surgery, we remove mesh usually in the same way that it was placed. Abdominal surgery with mesh placement usually has higher risk of complications. Patients will typically stay overnight. The surgical robot can be used to deal with some of the mesh problems.
Vaginally placed mesh is usually easier to remove. Dr Kella is able to usually discharge patients home the same day. Pain is minimal. A catheter is placed in the bladder during surgery and is typically removed prior to going home. Women are able to walk and can feel an immediate improvement. Leakage could worsen but surprisingly is stable in many women. After a few weeks without the mesh, if leakage is worse, non-mesh options can be discussed to fix the problem.
Residual pain, vaginal dryness, and mild incontinence could be addressed with vaginal laser treatment. This therapy could be very helpful for recovery of function.
Contact our office for a consultation and to learn about your options. Call us at 210-617-3670. Or fill out our form to the right and we will reach you within 2 business days. We are based in San Antonio, Texas. If you are coming from a further distance, we can set up a time to discuss your problem. Spanish speakers are welcome to call or fill out the form as well.
To learn more, here is a good link for mesh complications.