Vaginal Mesh Specialist
Dr. Daniel Stone, MD FACOG
Urogynecologist located in Phoenix, AZ
Dr. Daniel Stone, MD is one of the leading experts in the surgical and non-surgical management of vaginal mesh complications. Dr. Stone can diagnosis and provides management options for mesh complications to patients in the Phoenix, Scottsdale and surrounding Arizona areas.
Mesh Complications and Removal Q&A
What is Pelvic mesh?
Surgical mesh is a fabric netting that is made from animal tissue or synthetic material. Typically when Dr. Stone discusses mesh he is referring to the permanent synthetic material that is used in gynecologic surgery.
How is mesh used to treat pelvic floor disorders?
There are a several procedures and ways mesh is used in pelvic surgery. Any time mesh is used, there can be mesh related complications. However, some types of surgeries have higher complication rates than others.
- Transvaginal mesh for pelvic organ prolapse – These products are no longer on the market (since 2019) but were used frequently in the past. The way this mesh was placed resulted in a higher complication rate.
- Laparoscopic mesh for pelvic organ prolapse (Sacrocolpopexy) - This mesh is placed laparoscopically to attach the vagina to a ligament on the sacrum. It is one of the most effective ways used to treat prolapse and the complication rate is low.
- Mid-urethral Slings – A thin strip of mesh is placed under the urethra to stop urinary leakage with coughing, laughing or sneezing. This mesh is sometimes called tape. It is one of the most effective surgeries for Stress Urinary Incontinence and complications are rare.
What are the risks of mesh surgery?
It depends somewhat on the type of mesh and where it was placed but the common complications include:
- Vaginal bleeding
- Vaginal discharge
- Pain with intercourse for you or your partner
- Blood in the urine
- Urinary tract infections
What are the complications and risks associated with mesh removal surgery?
Mesh removal surgery is complex and requires a skilled surgeon such as a Urogynecologist like Dr. Stone to remove it. Risks include the following:
Should I get my mesh removed?
Dr. Stone will evaluate you and discuss with you the risks and benefits of mesh removal. If you are not having any problems associated with the mesh, then he will not recommend removal, as there is no danger with the mesh if it is not causing any problems.
If your mesh is causing problems, then Dr. Stone will discuss mesh removal surgery with you.
How do I know if I had mesh placed during my surgery for prolapse or urinary incontinence?
Dr. Stone and his office will request records from you other doctor or hospital, with your permission. Based on these records, he can find out why, where, and how the mesh was used.
What was the recent FDA action regarding mesh?
2011- The FDA issued a notification that stated that complications associated with transvaginal mesh used to repair prolapse were not rare.
Does vaginal mesh cause cancer?
No. There is no evidence to support that vaginal mesh causes cancer.
Are there any alternatives to mesh removal surgery?
Yes, once Dr. Stone evaluates you he will discuss with you options on addressing your symptoms. If the symptom is pain related, then pelvic floor physical therapy and muscle relaxers can be considered. If the symptom is bleeding, or discharge due to mesh exposure, then Dr. Stone may consider a trial of estrogen therapy to assist in tissue healing.
Major Insurance Providers Accepted
We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.
Phoenix, Arizona 85016-1302
Office Hours: Monday-Friday from 8 AM – 5 PM
Main: (602) 788-1521
Fax: (602) 688-5420
Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.