TVM Surgery: Treatment for POP and SUI
There is a great number of old women around the world who are undergoing Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI). These conditions may bring discomfort and pain, but when managed properly they don’t aggravate. These medical conditions mostly happen to adult women and those who have had vaginal deliveries.
A system of connective tissues spread over the vaginal wall to keep the organs in the pelvic area intact. This support system elongates and weakens making the pelvic organs shift out of place in POP and SUI. Symptoms include a sense of pressure in the wall of the vagina or groin area, pain on the lower back, constipation, pain during sexual intercourse, and the inability to control urination.
A surgical procedure called trans-vaginal mesh (TVM) implantation is done and indicated only for patients with symptoms. The surgeon inserts a surgical mesh through the vagina to support the vaginal wall in POP and to strengthen the urethra in SUI. TVM surgery can bring about unpleasant consequences in the future, so proper management is needed. The harmful complications related to this procedure should be considered and explained by doctors to their patients. An informed consent should be secured from the patient documenting their full understanding of the procedure.
So, what happens during the surgery? A general or spinal anesthesia is given to the patient; then the doctor makes an incision in the vagina and stitches the vaginal wall to strengthen it. The mesh is positioned and stitched securely into the vaginal wall. The surgical mesh has holes that body tissues could easily grow into after 2 to 4 weeks. It helps strengthen the vaginal tissues. The incision made in the vagina is then stitched. To add to the strength of the vaginal wall, a sacrospinous stitch is made into the cervix or at the top of the vagina. Patients might experience discomfort in the buttock for up to 3 months after the surgery with the final sacrospinous stitch. At the end of the procedure, a catheter is then inserted into the bladder for the drainage of urine, and a vaginal pack is lodged into the vagina to prevent bleeding. This can then be removed one to two days post-operation.
There are some physicians who advise using a vaginal support device (VSD) at the final step of the surgery. VSD is of soft material and it helps strengthen the wall of the vagina during the healing period. It is then removed 4 weeks post-surgery.
Analgesics and antibiotics are prescribed after the surgery. There is also the need to avoid any strenuous activities for 6 to 12 weeks.
There are also risks that could occur during the operation such as bleeding and the possibility of receiving a blood transfusion, infection in the wound or in the pelvic region, and pulmonary embolism. These conditions can become seriously dangerous, that’s why there is a need for an informed consent. Never hesitate to ask for more information from your doctor about this surgical procedure and its possible risks.
Visit the Vaginal Mesh Lawsuit Center for assistance on getting compensated for vaginal mesh related injury.
References:
.anapolschwartz.com/practices/transvaginal/transvaginal-mesh-procedure.asp
thewomens.org.au/Meshinvaginalprolapsesurgery
medscape.com/viewarticle/705592_13
A system of connective tissues spread over the vaginal wall to keep the organs in the pelvic area intact. This support system elongates and weakens making the pelvic organs shift out of place in POP and SUI. Symptoms include a sense of pressure in the wall of the vagina or groin area, pain on the lower back, constipation, pain during sexual intercourse, and the inability to control urination.
A surgical procedure called trans-vaginal mesh (TVM) implantation is done and indicated only for patients with symptoms. The surgeon inserts a surgical mesh through the vagina to support the vaginal wall in POP and to strengthen the urethra in SUI. TVM surgery can bring about unpleasant consequences in the future, so proper management is needed. The harmful complications related to this procedure should be considered and explained by doctors to their patients. An informed consent should be secured from the patient documenting their full understanding of the procedure.
So, what happens during the surgery? A general or spinal anesthesia is given to the patient; then the doctor makes an incision in the vagina and stitches the vaginal wall to strengthen it. The mesh is positioned and stitched securely into the vaginal wall. The surgical mesh has holes that body tissues could easily grow into after 2 to 4 weeks. It helps strengthen the vaginal tissues. The incision made in the vagina is then stitched. To add to the strength of the vaginal wall, a sacrospinous stitch is made into the cervix or at the top of the vagina. Patients might experience discomfort in the buttock for up to 3 months after the surgery with the final sacrospinous stitch. At the end of the procedure, a catheter is then inserted into the bladder for the drainage of urine, and a vaginal pack is lodged into the vagina to prevent bleeding. This can then be removed one to two days post-operation.
There are some physicians who advise using a vaginal support device (VSD) at the final step of the surgery. VSD is of soft material and it helps strengthen the wall of the vagina during the healing period. It is then removed 4 weeks post-surgery.
Analgesics and antibiotics are prescribed after the surgery. There is also the need to avoid any strenuous activities for 6 to 12 weeks.
There are also risks that could occur during the operation such as bleeding and the possibility of receiving a blood transfusion, infection in the wound or in the pelvic region, and pulmonary embolism. These conditions can become seriously dangerous, that’s why there is a need for an informed consent. Never hesitate to ask for more information from your doctor about this surgical procedure and its possible risks.
Visit the Vaginal Mesh Lawsuit Center for assistance on getting compensated for vaginal mesh related injury.
References:
.anapolschwartz.com/practices/transvaginal/transvaginal-mesh-procedure.asp
thewomens.org.au/Meshinvaginalprolapsesurgery
medscape.com/viewarticle/705592_13