In 2011, the International Urogynecological Association published a study called “Prospective Study of Anterior Transobturator Mesh Kit for the Management of Recurrent Anterior Vaginal Wall Prolapse”, where the objective was the assessment of the 2 year outcome of anterior Prolift for patients with recurrent anterior vaginal wall prolapse. Anterior wall repair is a procedure that tightens the front wall of the vagina when it shifts or moves out of place. Author Abdalla M. Fayyad states that “This is a prospective study which was conducted in a tertiary unit in the North West of England and comprised 36 consecutive women with recurrent anterior vaginal wall prolapse.
Women were assessed preoperatively and postoperatively at 6 months and 2 years. Women completed the Prolapse Quality of Life Questionnaire (P-QOL), Prolapse and Incontinence Sexual Function Questionnaire-Short Form (PISQ-12), and postoperatively, the Global Impression of Improvement Questionnaire. Women were examined using the Pelvic Organ Prolapse Quantification System (POP-Q).” Success on the anatomical level, were defined as stage 1 or less in the anterior compartment. A follow-up evaluation was done after about two years that found 19 women had stage 1 or less anterior wall prolapse, 2 women had stage 3 prolapse, and 15 women had stage 2 anterior wall prolapse. While twenty-nine patients reported improvements in their symptoms, sixteen women were sexually active preoperatively, of whom seven reported worsening dyspareunia (pain or suffering during sexual intercourse).
Abdalla M. Fayyad further explains “Surgical treatment of pelvic organ prolapse has seen a proliferation in techniques and graft materials that are intended to improve surgical outcome and reduce the recurrence rate. Vaginal repair with mesh kits has recently been introduced . There is paucity of data on the medium- and long-term outcomes and complications related to these surgical kits. Jacquetin and Cosson reported the importance of a systemic approach in the assessment of outcomes and complications following mesh kit repairs for prolapse”. (external link added)
More research needs to be done to have a complete understanding of the risks involved with the newer procedures. The National Institute of Health and Clinical Excellence recommends’ all women undergoing repair of prolapse using mesh, should have in depth pre-and postoperative assessments.
Since many transvaginal mesh (TVM) manufacturers have failed to warn women of the risk for vaginal mesh erosion and vaginal mesh failure, transvaginal mesh lawsuits have been filed around the country. If your or a loved one used transvaginal mesh and suffered vaginal mesh failure or vaginal mesh erosion, please do not hesitate to contact our team of vaginal mesh lawyers for a free, no-obligation case consultation.
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