Women in all sides of the world recognize the medical device trans-vaginal mesh (TVM). This device is used by physicians to help relieve the signs and symptoms of Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI), which are mainly present in aged women, by reinforcing the vaginal wall to restore the vaginal anatomy and improve sexual health. Most adult women in all races are affected by POP and SUI. The most at risk of developing these conditions are the women who have gone through menopause, hysterectomy, and childbirth.
When does Pelvic Organ Prolapse occur
In Pelvic Organ Prolapse, the connective tissues stabilizing the walls of the vagina become less elastic and starts to soften. Old age and previous experiences of hysterectomy and vaginal delivery account for the loss of elasticity in the tissues of the vaginal wall.
There are diverse kinds of prolapse, but the principal types are bladder and uterine prolapse, urethrocele, and rectocele. The most widespread of these types is bladder prolapse. This is when the bladder extends into the vaginal wall. Urethrocele is when the urethra puffs out into the vagina. Rectocele is the projection of parts of the rectum into the back part of the vagina and uterine prolapse is when the uterus falls into the vagina.
Stress Urinary Incontinence
Stress Urinary Incontinence is not a symptom of POP. It may be defined as the uncontrolled escape of urine from the bladder during sudden movements like sneezing or coughing. Most likely, it results when the urethra is hyperactive due to weakened pelvic muscles.
Brief History of Trans-vaginal Mesh
Surgical mesh can be traced in 1950 as a common management for hernia. Twenty years after that, it was professionally used through the abdomen for the repair of POP. It was then in 1990 that surgeons discovered that it can be successfully implanted through the vagina. There are approximately 250,000 cases of TVM procedures recorded as of today.
Many times, traditional procedures used for the management of POP and SUI did not successfully relieve the symptoms of these conditions, leading to the approval in practicing TVM surgery. On the other hand, TVM lawsuits are filed at an increasing rate in the United States as serious injuries have affected many recipients of the vaginal mesh recently.