Vaginal Mesh Extrusion
Vaginal mesh extrusion is one of the most common vaginal mesh complications reported by doctors and patients. The FDA cites both vaginal mesh extrusion and vaginal mesh erosion in their safety report on the mesh devices dated July 13, 2011. It is estimated that as many as 10 percent of patients might experience vaginal mesh complications like extrusion and erosion within one year after surgery. Repair of mesh extrusion varies, depending on the extent of the extrusion and whether other tissue or organs are involved.
What is vaginal mesh extrusion?
Vaginal mesh extrusion occurs when the vaginal mesh device used to hold pelvic organs in place gradually migrates out of the vagina and into surrounding tissue and organs. When the mesh is exposed through the vagina, it is considered mesh extrusion, which can result in irritation, discomfort and infection.
In some cases, the mesh visibly protrudes from the vagina. Alternatively, some patients may not realize they are experiencing vaginal mesh extrusion until an internal examination is performed. While removal of the mesh from the vagina can be a relatively straightforward process, if the mesh erosion impacts other organs or tissue, it can be significantly more complex to treat the condition.
As with other vaginal mesh complications, extrusion may be even more problematic for women who are sexually active, since the condition can result in significant discomfort during intercourse that may force some patients to avoid intimacy with their partner altogether. A woman’s partner may also find intercourse to be uncomfortable, when the protruding mesh comes in contact with the penis and causes pain and irritation.
Symptoms of vaginal mesh extrusion
The symptoms of mesh extrusion are similar to those of other vaginal mesh complications, including:
- Pelvic pain
- Perforation of the bladder or bowel
- Narrowing of the vaginal wall
- Abscess formation
- Urinary incontinence
- Recurrence of prolapse
- Pain and discomfort during sexual intercourse
How are vaginal mesh complications treated?
The recommended treatment for vaginal mesh extrusion may vary, based on how much of the mesh is protruding, and whether other organs or tissue are affected.
Women who experience a minimal amount of extrusion may find use of a hormonal cream promotes healing of the vaginal wall. More serious cases of extrusion may require surgical procedures to remove the mesh and alleviate symptoms.
While some women need only minor surgery performed under local anesthetic to repair vaginal mesh extrusion, others require extensive surgical procedures to fully repair the problem. According to the FDA’s report, some women find that even after multiple surgical procedures, their vaginal mesh complications are not repaired completely.
The rising number of vaginal mesh complications in recent years has prompted many injured patients to seek out the services of a vaginal mesh lawyer in hopes of receiving compensation for their injuries.