What is Done in a Transvaginal Mesh Surgery?

In order to understand whether a transvaginal mesh device is the right option for you it is important to have a basic understanding of what is done in a transvaginal mesh surgery and how it differs from traditional pelvic organ prolapse surgery.

How Transvaginal Mesh Surgery Compares to Traditional Pelvic Organ Prolapse Surgery

When surgeons fix pelvic organ prolapse without transvaginal mesh devices they commonly stitch together the weakened connective tissue in a procedure known as anterior colporrhaphy. However, when transvaginal mesh is used, a surgeon inserts a piece of mesh into the vagina. Typically, surgeons have to go deeper into the tissue to anchor the transvaginal mesh device then they would if they stitched the tissue without the mesh device. Stitches may or may not be necessary depending on the type of vaginal mesh used in the surgery.

If the surgery goes as planned and no organs are perforated by surgical tools and no other complications occur then a transvaginal mesh surgery patient typically only needs to remain in the hospital for one night. After that, she often returns to normal activities within a few days.

Risks of Transvaginal Mesh Surgery

However, the surgery is not without risks. After surgery the mesh can come through the vaginal tissues and create pain, scarring, urinary problems, internal bleeding, erosion and infection. Recurrence of the pelvic organ prolapse or stress urinary incontinence which the mesh was designed to fix may also occur.

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Accordingly, when you talk to your surgeon about transvaginal mesh surgery it is important to not only discuss the actual surgery but also the potential risks after surgery so that you can make an informed decision about how best to protect your health.

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