TVM Issues Effect Quality of Life
The gynecologic mesh used in transvaginal mesh (TVM) repair surgery is producted by many different medical manufacturers. Approximately 10% of women who receive transvaginal mesh implants experience mesh erosion within 12 months of surgery. More than half of reported TVM complications require further surgery to remove the TVM implant. Corrective surgery is often much more complicated than the original surgery. All biologic and synthetic vaginal mesh devices manufactured in the United States are currently under investigation.
In 2011 the FDA is issued an update to "...inform you that serious complications associated with surgical mesh for transvaginal repair of POP are not rare. Recognize that in most cases, POP can be treated successfully without mesh thus avoiding the risk of mesh-related complications". The mesh tends to erode and break or shrink over time, resulting in recurrent infections, severe pelvic pain, painful intercourse, urinary and bowel dysfunction, organ perforation, or even an inability to engage in sexual intercourse.
In 2010, approximately 75 thousand TVM surgeries were performed in the U.S. representing 40% of all transvaginal procedures that year. From 2008 to 2010, there were 1500 reported cases of transvaginal mesh problems, a 5-fold increase from previous years.
Any of these problems can have a profound effect on your quality of life. Many mesh complications require additional surgery and hospitalization or even repeated surgeries. And yet, the presence of a surgical mesh implant may make future surgical repairs more challenging, according to the FDA.