What is Pelvic/Vaginal Mesh?
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 Q & A
Why do I hear so much about mesh?
In 2011, the FDA issued a safety communication advising that “serious complications associated with surgical mesh for transvaginal repair of pelvic organ prolapse are not rare.” Since then, the topic of mesh used in pelvic surgery to correct both prolapse and incontinence has become commonly discussed in the news and the internet. Because mesh is discussed in many ways and the terms to describe these surgeries are vague, confusion exists.
What type of conditions is mesh used to treat?
What is mesh?
It is a flexible, synthetic material woven into a fabric. Mesh is used in hernia repairs and the surgical treatment of both pelvic organ prolapse and stress urinary incontinence.
Why and how is mesh used?
Pelvic organ prolapse and stress urinary incontinence have many options for treatment, and surgery is only one of them. Once the surgery is planned, there are different surgeries that may work for you, including some that involve the placement of mesh material to correct the prolapse or incontinence.
- Sacrocolpopexy: During this operation, the surgeon places mesh in the abdomen to attach the vagina to a ligament located near the tailbone (sacrum). Usually, it is performed through multiple tiny incisions using a robotic or camera (laparoscopic) technique. This procedure works well and mesh-related complications are rare.
- Vaginal Prolapse operations: During this operation, the surgeon positions transvaginal mesh in the vagina through incisions in the vaginal walls to hold up the dropped organs. These products are no longer on the market.
Stress Urinary Incontinence Surgery
- Mid-urethral Sling: Involves the placement of a small mesh sling under the urethra (the tube that empties urine from the bladder). More than 95% of women are happy with the outcome of mid-urethral sling surgery. Serious complications are uncommon. Mid-urethral slings are the best-studied incontinence surgery in history and consistently show high levels of success and patient satisfaction. The FDA supports the safety and effectiveness of this surgery. The permanent mesh used in this surgery does not cause the complications that have been in the news related to other types of vaginal POP repair surgery.
Make sure you understand clearly any mesh surgery your doctor discusses. Ask questions, take notes and consider bringing along a friend or family member to listen as well.
Does Dr. Stone use mesh?
Dr. Stone does not use transvaginal mesh for prolapse repair. However, he will use mesh for sacrocolpopexies and for mid-urethral slings since the mesh complication rate is low. He always discusses with the patient the risks, benefits, and alternatives to using this material. There are surgical alternatives to mesh for both stress incontinence and prolapse.
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.