What is a transvaginal mesh?

A surgical mesh is a medical apparatus that is normally used to restore weakened or injured tissue. It is made from porous absorbable or non-absorbable synthetic material or absorbable biologic material. Surgical meshes were designed in the 50s to treat abdominal hernias. If a surgical mesh is introduced through the vagina, it is known as transvaginal mesh.

Pelvic organ prolapse and a transvaginal mesh:

Pelvic organ prolapse is an agonizing condition that characteristically strikes women subsequent to childbirth as well as menopause. It happens when destabilized pelvic muscles permit the bladder, rectum, or uterus to sink or “fall” into the vagina. To treat POP, a surgical mesh may be implanted while doing a hysterectomy or as a separate surgical measure.  When a vaginal mesh is applied to refurbish prolapse, the surgeon makes use of the woven material to produce a hammock-like formation beneath the sagging organ or organs. Once in position, the mesh is secured to ligaments or muscles by sutures or other procedure. Over time, the tissues grow and stuff in the holes of the mesh to maintain it stability. The hammock, in turn, sustains the proper position of the prolapsed organs.

Stress Urinary Incontinence and transvaginal mesh:

Surgical mesh might in addition be used to form a bladder sling which is placed underneath the urethra and neck of bladder and secured on the sides. The bladder sling is intended to take care of SUI (stress urinary incontinence), which crops up as the bladder is strained by daily activities, like laughing or sneezing, and afterwards leaks urine. The sling maintains the bladder neck and urethra blocked through regular activities, thus stopping the leakage. In the year 2010, nearly 265,000 surgeries were carried out to correct SUI. Amongst those, about 80% were achieved by making use of surgical mesh fixed transvaginally

Transvaginal Mesh patch surgery:

A spinal or general anesthetic is utilized for the sling surgery procedure. The selection of type of anesthesia is done based on the preference of the patient and clinical aspects considered by an anesthesiologist. A minute incision is made into the vaginal region and two small incisions are made on the skin in the groin region. After that, the transvaginal mesh is positioned and is extended from one of the skin incisions toward the vagina, just around the urethra and back out via the second skin incision to form a “hammock shaped iike a U” to provide support around the urethra. This sling organization is designed to stabilize the urethra and give support to it. With the sling in position, regular urinary function should be repaired. The tension of the mesh is attuned so that the outflow of urine is reduced. Subsequent to the positioning of the mesh, the little incisions in the groin region and at the top of the vaginal canal would be blocked and bandaged.

Following The Surgery

You might be prescribed pain medication and antibiotics. Usual physical movements may be restricted for a short period. Demanding activity might be restricted for 3½-4 months.