Pelvic Organ Prolapse and Stress Urinary Incontinence are serious medical conditions affecting many women. POP correlates with SUI; they affect the organs in the pelvic cavity like the uterus, the bladder, the vagina and rectum. These organs are usually held in place by a web type layer of muscles, ligaments and tissues. When the layer of muscles and tissue are damaged or become weakened, the pelvic organs may sag and put pressure on the woman’s rectum or vagina. The result is a hernia like bulge in the vaginal wall, and in some extreme cases, the parts can fall directly from the vagina or rectum.
POP and SUI mostly occur as a result of a multiple vaginal births, a hysterectomy or menopause. Over 50% of women who had had at least one vaginal birth are at risk of having some degree of these conditions. Further, women who have had a hysterectomy or are post-menopausal are more at risk.
When the muscles weaken, urine may leak when a woman coughs, sneezes, laughs or exercises. Some symptoms associated with POP and SUI includes pressure and pain in the pelvic area, rectal area, legs and lower back, as well as a feeling of fullness and constipation. Pain during intercourse is common.
To treat these conditions, physicians perform an operation that uses a vaginal sling (mesh) to strengthen the pelvis muscles and tissues. This will prevent the uterus from coming into contact with the bladder area.
POP - SUI and the FDA
On July 13, 2011 the Food and Drug Administration announced their research on POP and SUI. The publications from 1996 to 2000 revealed important results. Those who undergo POP repair with mesh are at more risk than those who receive POP repair with stitches; there is no evidence that the mesh provides a greater benefit than other surgical procedures. Also the complications with transvaginal mesh are not rare. They also stressed this “warning does not apply to mesh placed abdominally or to treatment for stress urinary incontinence.”
“Mesh is a permanent implant – complete removal may not be possible and may not result in complete resolution of complications.”
- William Maisel, MD, MPH, deputy director of FDA’s
center for devices and radiological health
If you have undergone a surgical procedure to repair a prolapsed uterus or to correct urinary stress incontinence and are experiencing any of the conditions listed above, CALL your physician immediately. Attention to your health is of utmost importance. So, if you have had a transvaginal mesh implant, please call the law office of Guerra Law Group as soon as possible or fill out our free case consultation form. Our law group includes a medical professional team with nurses who will contact you to discuss your medical case. Keep in mind, your medical condition is no fault of your own or your physicians.