Trans Vaginal Mesh Patch : What Every Woman Must Know About It

Transvaginal mesh patch is defined as the surgically implanted device that usually stretches transversely along the side of the vaginal wall. The vaginal wall is also known as the pelvis floor. This biomedical device is typically used by the human females who have got their pelvic floor damaged during any injury, childbirth or surgery. This treatment is so far considered to be effective on Pelvic Organ Prolapse where in this condition the bladder, uterus, vagina, urethra, bowels or rectum slithers from its place. This treatment is also considered effective in treating Stress urinary incontinence, a syndrome in which the affected woman lacks the control over the sense of urination as a result of which the person will tend to urinate involuntarily while coughing, sneezing, laughing and so on. This is a very common problem that is wide spread in adult women, this also occurs as an effect of aging or due to child birth. This can worsen during the menstrual period and also during menopause period due to the lowered concentration of estrogen levels.  Though this is a natural process, effects of this condition will be dangerous and should be treated periodically to avoid those circumstances.

The Transvaginal mesh was first developed in 1950s from polypropylene. This is a thermoplastic polymer resin made of propylene and petroleum. Polypropylene was chosen for this because it can be molded into many structures, fibres that are made for the suture material is a good example of this Polypropylene product. In addition to this polypropylene quaternary ammonium biocides are used that serves as a disinfectant and kills the germs because they tend to damage the proteins and the cell membranes and this has the chance of developing the post surgical infections, however this is not effective against Pseudomonas species. Polypropylene knitted Mesh (PPKM) is a kind of fabric that comprised of monofilament yarns that are engineered to make the textile fabrics. These fibres and meshes are prepared in the same way in which the surgical devices are manufactured i.e., aseptically in order to avoid the chance of microbial infections. There are several kinds of mesh patches: some of them are hernia mesh patches, stress urinary incontinence slings (SUI) and vaginal prolapse suspenders. In some conditions nonwoven polypropylene fabrics are used.

However, several complications are developed in the patients who are operated with this mesh patches. Most of them suffered from microbial infections, pain, urinary problems and bowel, bladder or blood- vessel perforations, conditions recurred even after a second surgery. Removal of mesh is also another problem where it is needed to be operated out due to the vaginal erosion. A popular mentor sling type mesh product made by Mentor Corporation was known as transobturator vaginal sling which is commonly known as OB Tape. Treatments for the side effects of these transvaginal illnesses include blood transfusions, further surgery, drainage of abscesses, intravenous hydration and so on. A recent study in one of the medical journals revealed about the serious side effects associated with the usage of these meshes. The study has compared transvaginal mesh with colporrhaphy, which is the conventional surgical treatment followed to strengthen vaginal tissue and take care of the pelvic organ prolapse (POP).