Pelvic Floor Mesh Repair

Considering pelvic prolapse repair.

Pelvic floor mesh repair. The pelvic floor is a group of muscles in the pelvic area that support the bladder vagina and rectum. Bladder catheter is placed to drain the. In a survey of 2 220 women who had undergone pelvic mesh implants to treat stress urinary incontinence and pelvic organ prolapse 59 said the procedure did not resolve their original issue and. Surgical mesh has been used for urogynecologic procedures including repair of pelvic organ prolapse pop.

However the fda has issued several documents regarding the use of reconstructive materials for female pelvic floor surgery pointing to safety risks and uncertain effectiveness. With mesh placed in the vagina there s a risk of pain and infection and also that the mesh will erode. In 2016 safety concerns prompted the fda to classify vaginal mesh for pelvic organ. About 1 in 10 women who have had children require surgery for vaginal prolapse.

Each use of mesh carries its own risks and benefits. About 50 of women who have had children experience pelvic floor dysfunction. A prolapse of the front anterior wall of the vagina is usually due to a weakness in the strong tissue layer fascia that divides the vagina from the bladder. The vagina and pelvic organs are then resuspended internally with a combination of sutures and a supportive mesh or fascial graft figure 3.

More specifically the term anterior repair refers to correction of the front wall of the vagina. If needed a bladder suspension vaginal hysterectomy and rectocele repair can be accomplished at the same time via a vaginal incision. A foley catheter i e. As many as 20 will require surgery for these conditions.

Previously transvaginal mesh use was associated with improved short term outcomes for repair of bladder prolapse as compared with procedures without the use of mesh. In 2019 the fda ordered manufacturers of surgical mesh for the transvaginal repair of pop to stop selling and distributing their. Pelvic floor repair the most common surgery for prolapse is a pelvic floor repair which is a broad term used to describe simple surgical repairs of the pelvic floor. Use of surgical mesh through the vagina to treat pop has been associated with higher rates of mesh related complications including mesh poking through the vaginal skin pelvic pain and pain with intercourse.

And posterior repair refers to correction of the back wall of the vagina.