Vaginal Mesh and Prolapse

Understand all your options Adult and Pediatric Urology and Urogynecology

Vaginal mesh, and mesh for pelvic prolapse continue to be hot topics in the news media and social networking.  Like many complicated issues, it is sometimes difficult to understand all the facts and separate out the bias positions and propaganda when reading though a Facebook post, or watching a news report.

At Adult and Pediatric Urology and Urogynecology, we work to understand all aspects of the mesh debate.  We have all the options for treatment of prolapse available to our patients including mesh and non-mesh (also known as native tissue) repairs available.  Ultimately, your decision on how to repair any prolapse or incontinence should be made with up to date information and a face-to-face discussion with your doctor or provider.  We want you to be comfortable with the treatment choice and understand the potential advantages and pitfalls of each approach.

Do I need Vaginal Mesh?

It is difficult to explain every nuance of vaginal prolapse. The following is a good starting point for discussion with your provider.

Most prolapse can be treated either with or without mesh placement.  In general, mesh may decrease the risk of prolapse coming back in the future, but does increase risks including possible mesh exposure

  • causing vaginal spotting
  • pain with intercourse over the years following the repair

Every repair is different and every patient has different goals in mind.

Are you worried about needing another surgery for prolapse?  Are you concerned about vagina mesh exposure in the future?  How sexually active are you at this stage of life?

These are some of the many things to consider prior to deciding on a surgical approach.  It is critical to remember that not all mesh is the same, just as not all patients are the same.  Some mesh breaks down in the body over time, posing less long-term risk.  Further, the route in which mesh is placed (through the abdomen or through the vagina) significantly changes the risk of future issues with the mesh.

If you would like a more detailed discussion of your specific case, come and see us.  We are ready to answer your questions in a no pressure environment.