We provide appropriate, safe care for women needing vaginal mesh surgery implant, revision or removal to treat incontinence, prolapse and pelvic floor dysfunction.
You have probably heard or read about the potential for surgical complications related to vaginal mesh implant surgery.
Maybe you’re coming to us for a second opinion when considering your treatment options.
Maybe you’ve experienced a less than ideal outcome from another surgeon, and are left with mesh complications and need revision, reconstruction, and restoration of normal function.
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 it is important to review all treatment choices with our patients, everything from conservative therapy to the most advanced and complex pelvic reconstructive surgeries.
We believe all women with urinary incontinence and vaginal prolapse should first be offered non-surgical treatment options such as physical therapy, pessary or clinical observation to improve pelvic floor muscle function – before considering a surgical treatment.
Many women have had failed native tissue repairs for vaginal incontinence and prolapse, leaving them with 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.
Our board certified surgeons are experts in vaginal mesh implants and revisions, doing hundreds of these types of complex surgeries every year.
In fact, women come from around the country to seek our surgical expertise to restore their normal anatomy. We coordinate a tailored care plan to get them back to normal bowel, bladder and sexual function.
What to Expect
At your initial visit, we’ll take a thorough history and perform an 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) can help us identify holistic treatment options, such as simple behavioral modification.
We spend time reviewing available treatments for your pelvic symptoms. This may begin with
- improving pelvic muscle function through physical therapy
- local injection therapy
- pelvic relaxation exercises
- addressing vaginal atrophy or infections
If a procedure or surgery is necessary, we then proceed with two tests:
- Cystoscopy, where we look in your bladder with a small scope to assure there’s no mesh or injury to the bladder
- Urodynamics testing to see how the bladder functions before finalizing a surgery decision.
We also believe it is important to maximize pelvic floor muscle function prior to any surgical procedure for the best possible results.
Our surgeons are committed to answering your questions so you understand the risks, benefits, options and expected outcomes of any mesh surgery or mesh revision.
Our team will see you through 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...