Tuesday, January 7, 2014

Cons Of Surgical Procedures For POP And SUI Treatment

By Albert Ramirez


Pelvic Organ Prolapse (POP)

A number of women may be exposed to the possibility of acquiring a pelvic floor disorder known as Pelvic Organ Prolapse (POP), most often when they are at menopause. One is said to have POP when a pelvic organ, such as the bladder, drops down and causes a bulge in the walls of the vagina. This occurs when the pelvic floor muscles that support these organs are damaged or stretched, usually after delivery or an operation.

POP Symptoms

When the following symptoms are experienced by a woman, she may have developed POP:

With the bulge created in the vagina, pressure may be sensed by the patient

Feeling very full in the lower belly

It is not uncommon to feel as if an object is falling from the vagina

The back portion of the body or the area around the groin may experience extreme soreness

Especially when the bladder is affected, there may be urinary incontinence

Women report that they experience great pain during sexual contact

Bowel troubles may also manifest in some instances

Treatments for Pelvic Organ Prolapse

Options in the treatment of POP include surgical interventions. Surgical operations for POP have been performed on countless patients. Medical procedures using transvaginal mesh have become one of the most favored methods for treating this pelvic floor disorder.

Vaginal mesh or medically known as surgical mesh has been defined as a device that is used to reinforce tissues and muscles that have been damaged or stretched. . Sources for transvaginal mesh may come from synthetic materials (man-made) or those from animals, mostly pigs and cows. In addition to POP repairs, these mesh devices are also utilized for the treatment of stress urinary incontinence (SUI). SUI repairs involve the use of vaginal mesh to strengthen the urethra or the bladder neck.

Favored by many surgeons today in repairing SUI is the so-called sling procedures. A sling procedure may use natural tissues of the body or a mesh device, also called a sling or tape, which is used to prop up the urethra or the bladder neck. The urethra may then function correctly with these sling devices even when the pelvic area is stressed by certain physical activities.

Complications of POP Repairs

Due to numerous complications experienced by patients, including the severe mesh erosion, adverse reports were being submitted to the concerned agency, which is the Food and Drug Administration (FDA). Heavy bleeding, dyspareunia, severe infections, chronic pain, damage to other organs, and incontinence were the other adverse effects reported. Medical experts have determined that these adverse events were very serious that revision surgeries were needed.

Because of the increasing problems associated with the transvaginal placement mesh, the FDA has issued a safety warning in 2011. Since then complaints are mounting where FDA has received 1503 adverse event reports associated with mesh for POP repair. From 2008 through 2010, thousands of mesh implant lawsuits were filed by patients who have undergone failed surgeries.

Mesh Implant Lawsuit Updates

With the increasing number of mesh implant lawsuits in federal courts, cases were centralized under a multidistrict litigation (MDL) in West Virginia. Judge Goodwin of the US District Court in West Virginia has set schedules for mesh trials against different manufacturers, with a few cases against C.R. Bard already resolved.

Sources:

webmd.com/urinary-incontinence-oab/tc/pelvic-organ-prolapse-topic-overview

fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/UroGynSurgicalMesh/ucm262299.htm

huffingtonpost.com/2013/02/08/pelvic-mesh-lawsuits-surgical_n_2647435.html

mayoclinic.com/health/urinary-incontinence-surgery/WO00126




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