Thursday, 2 January 2014

Cons Of Surgical Procedures For POP And SUI Treatment

By Albert Ramirez


Pelvic Organ Prolapse (POP)

Usually occurring during menopause, women at this stage are at a high risk of suffering a pelvic health disorder described as Pelvic Organ Prolapse (POP). This disorder is characterized by the descent of a pelvic organ from its usual position towards the lower pelvic area where it presses against the vaginal wall. This condition comes about when the muscles of the pelvic floor lose strength or become weakened, mostly due to vaginal delivery and surgical operations, making it unable to support the different pelvic organs.

Symptoms of Pelvic Organ Prolapse

A woman may determine if she is having POP when she's having symptoms such as:

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

A sensation similar to being full may also be experienced

An awkward feeling as if something is falling out of the vagina

Discomfort and pain may be felt in the pelvic area as well as in the lower back

There may also be urinary problems such as frequent urination

Dyspareunia or painful intercourse may be very common

And having problems with bowels such as constipation

POP Treatment Options

Management of POP may include the more invasive surgical procedures. A big number of women with POP have been reported to have availed of surgical options in treating their disorders. Among the several choices available, the use of pelvic mesh has become very popular.

Surgical mesh is a medical device used to provide additional support when repairing weakened or damaged tissue. Surgical mesh devices can be made from man-made (synthetic) materials or animal tissue. This is also used for urogynecologic procedures, including repair of POP and stress urinary incontinence (SUI). It is implanted permanently to reinforce the weakened vaginal wall for POP repair or for supporting the urethra or bladder neck for SUI repair.

Gaining wide acceptance at present is the use of sling procedures to repair SUI. In this approach, a surgeon uses a tissue of the woman or surgical mesh to apply around the bladder neck and urethra, the organ where urine passes through. With this reinforcement, the urethra functions properly even when abdominal pressure is exerted such laughing, coughing, or jumping.

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

Pending mesh implant claims in various state and federal courts have been estimated to overshoot the 50,000 mark, with the most number in West Virginia centralized into six multidistrict litigations (MDL). With a few mesh lawsuits already resolved in court, trials for the other defendants have been scheduled for 2014.

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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