We provide appropriate, safe care of patients needing vaginal mesh surgery implant, revision, or removal to treat incontinence, prolapse, and pelvic floor dysfunction.
With the increasing awareness around the potential for surgical complications related to vaginal mesh implant surgery, our surgeons are dedicated to adhering to best practice guidelines and providing the best outcomes for our patients choosing a surgical care path.
We believe all women with urinary incontinence and vaginal prolapse should be offered non-surgical treatment options such as physical therapy, pessary, or clinical observation to improve pelvic floor muscle function first before considering a surgical treatment.
Unfortunately, many women have had failed native tissue repairs for vaginal incontinence and prolapse, and they have recurrent symptoms of incontinence, vaginal bulge, pain, or infections. The failure rate of a primary native tissue repair can be as high as 40% and the failure rate is even higher for a re-do of a native tissue repair.
The use of vaginal mesh augmentation for prolapse and incontinence surgeries has been used for nearly 20 years, and we are experts in vaginal mesh implants and revisions, doing 100’s of these types of complex surgeries every year. Our surgeons handle mesh complications from around the country. Women seek our surgical expertise to restore their normal anatomy, and coordinate a tailored care plan to get back to normal bowel, bladder, and sexual function.
Many patients see us for second opinions when considering their options, or in the event they’ve had less than ideal outcomes from another surgeon and are left with mesh complications and in need of revision, reconstruction, and restoration of normal function.
We believe it is important to review all treatment choices with our patients, and are prepared to offer conservative therapy to the most advanced and complex pelvic reconstructive surgeries.
What to Expect
At the initial visit, each consultation includes a thorough history and exam to make sure no other problems such as occult vaginal mesh erosion or extrusion, recurrent prolapse, or pelvic floor muscle issues are present that need to be addressed. A voiding diary (journal where you record what you drink and urinate for 48 hours) may be helpful and can help us to identify holistic treatment options such as simple behavioral modification.
We spend time reviewing available treatments for pelvic symptoms that may begin with improving pelvic muscle function through physical therapy, biofeedback, local injection therapy, pelvic relaxation exercises, or addressing vaginal atrophy or infections.
If a procedure or surgery is necessary, we then proceed with cystoscopy (to look in the bladder with a small scope to assure no mesh or injury to the bladder) and urodynamics testing (test to see how the bladder functions) before finalizing a surgery decision.
Ultimately, we believe it is important to maximize pelvic floor muscle function prior to any surgical procedure for the best possible results. The Athena surgeons are all committed to assuring your questions have been answered and you understand the risks, benefits, options, and expected outcomes of any mesh surgery or mesh revision. Our caregivers will see you through the process of surgery, recovery, and rehabilitation to restore the most intimate parts of your body.
- Midurethral Sling
Urethral sling surgeries to treat urinary incontinence involve placing a sling around the urethra to lift it back into a normal position and to exert pressure on the urethra to aid urine retention. The sling is attached to the abdominal...