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AUGS President Calls Out Anti-Mesh Movement While Admitting to Mistakes

President's address, AUGS Sept 2016

President’s address, AUGS Sept 2016

Mesh News Desk, October 18, 2016 ~ The president of the American Urogynecologic Society (AUGS) admits some doctors were not in the 98th percentile in their ability to place transvaginal mesh while he called out the anti-mesh movement.

AUGS, the American Urogynecologic Society, was born in an Orange County, California living room in 1979.

Founder, Dr. Don Ostergard, was there, so was Jack Robertson, MD the first president, and four others.  The first AUGS conference was held in New Orleans and attended by about 60 physicians from around the U.S. and Europe.

Last month, the society held its 37th annual conference in the Denver Convention Center. During the President’s Address, Dr. Douglass Hale, MD said the society has grown by leaps and bounds and now numbers just under 2,000 members.

He called “almost unreal” the AUGS $3.5 million growth in 2015, a jump of almost 300 percent. See his comments here.

Last year, the AUGS annual conference brought in more than half of its annual revenue of $5 million. As a non-profit corporation, support is tax deductible, and more than half of the support of this year’s conference came from mesh manufacturers and related industries.

The 2014 record shows 64% of AUGS Pelvic Floor Disorders is sponsored by industry. augs-cororate-funding-piechart-2014See the  2016 corporate support page

AUGS has, since its inception, been an industry magnet. Timing was everything.

Urogynecology was in its infancy when AUGS was born. The new subspecialty of gynecology focused on female incontinence and prolapse, pelvic medicine and reconstructive surgery.

The Food and Drug Administration’s (FDA) 510(k) provided a fast-tracked avenue to market where untested medical devices such as transvaginal mesh could be sold bypassing the costly burden of clinical trials.

For example, in 1996, Boston Scientific’s ProteGen hit the market and by 1998 Ethicon’s TVT (Johnson & Johnson) was ready to be sold in the U.S.  Early adopter physicians flew to Europe eager to jump ahead of the pack to bring TVT (tension-free vaginal tape) technology to the U.S.

AUGS received industry support in 1997 when Kimberly Clark provided an endowment to create the June Allyson Foundation. Four years later the first AUGS resident scholars would be sponsored by Eli Lilly & Co.

AUGS Exhibit floor

AUGS Exhibit floor

It’s no surprise then that one cannot turn one’s head in the exhibit hall today and not be reminded of the industry presence – Medtronic, Allergan, Boston Scientific, Coloplast- Platinum, Gold and Silver sponsors spending hundreds of thousands of dollars to make their presence known.coloplast-two

 

AUGS AND ITS SUPPORT

The closing of Astora Women’s Health division last March “came as a complete shock,” said Dr. Hale to the nearly full room of 1,300 AUGS physicians attending the conference.

Astora was the division of Endo International that bought American Medical Systems in 2011. Unfortunately it also bought its liabilities. Facing future product liability litigation concerns, Endo/Astora shuttered its business operation last March.

Dr. Hale characterized it as a “business decision,” and he added thankfully there are four vendors they can still rely on to provide mid-urethral slings – J&J, Boston Scientific, Coloplast and Caldera Medical (which earlier this year said it was insolvent. See the story here).

Dr Douglass Hale MD

Dr Douglass Hale MD

And in a rare moment of introspection, Dr. Hale admitted not all physicians are up to the task of placing pelvic mesh.

“Are all slings wonderful, all slings given to surgeons, obviously not,” he said, pointing out that some doctors imagine themselves in the 98 percentile. But that’s not true.  Not everyone operates at the 98 percentile.

“Surgeons are no different. Pick the surgery to match what you can deliver,” he warned.

Calling slings the “most studied procedure of all time,” he said thousands of patients have been satisfied with its outcome.

Like anything in medicine it comes with its risks, complications, he admitted, that have come from low volume users, doctors who do an occasional procedure.

AUGS has met with the remaining mesh makers to formulate a plan to “help protect the decision between a patient and her physician whether that decision is for a native tissue surgery or for a mesh surgery.”

Hale said the treatment decision should be based on science and not an “irrational” response, especially in this age of social media.

 

THE ANTI-MESH MOVEMENT

“The #PFDWeek hashtag has already been attacked by the anti-mesh movement and unfortunately, that’s not a surprise to us. That’s what we’re up against,” said Dr. Hale, not elaborating further (here).

The short-term plan was to answer the anti-mesh movement was to issue a positive statement by all of the coordinated medical societies, AUGS, SUFU, AAGL, ACOG, Society of Gynecological Surgeons, American Urological Association, and National Association for Continence, Women’s Health Foundation.  They all joined together and “put their egos aside” to create a position statement that supported a mesh option in June here.

Hale called a “new low” the act of some unnamed doctors who fly out patients to have a mesh removal surgery.  After she has her sling removed, she expects her doctor back home to take care of her.  The removal doctor never met the patient, examined or followed up after the mesh removal, he said critical of the entire process.

 

SUI SURGICAL REGISTRY

Big changes are afoot in the collection of electronic healthcare records which may allow the society to understand outcomes for the mesh implanted, something that didn’t happen during the late 90’s and into the mid 2000’s during the height of the use of polypropylene mesh.

Doctors can now perform their own data analysis to “inform better clinical decision-making” says the society.   The American College of Cardiology and the Society of Thoracic Surgeons already use disease registries in this manner so AUGS is partnering with FIGmd, Inc. to develop AQUIRE, the AUGS Urogynecology Quality Registry, a stress urinary incontinence electronic surgical registry to monitor patient care, and evaluate patient outcomes.

The data will be used to determine physician reimbursement working with CMS (Center for Medicare and Medicaid Services) and its requirement of new physician benchmark tools.

AQUIRE will track performance measures against peers at the national and regional levels and act as post-approval monitoring, something not done before pelvic mesh was introduced  into the market.

As Donald Ostergard, MD opined in 2007, clinical observations are not always accurate about the effectiveness of a particular material because women do not return to a doctor who they perceive has harmed them.

 

PELVIC FLOOR DISORDERS REGISTRY

The Pelvic Floor Disorders Registry (PFDR) is a multi-centered observational study of patients following treatment for pelvic organ prolapse (POP) to evaluate the outcomes of transvaginal/transabdominal native tissue repair, versus transvaginal mesh repair and sacrocolpopexy and a non-surgical management with a pessary.

By 2015 it had collected data from more than 1,000 patients.

It is supported by grants from industry including ACell, Astora ( Endo) Boston Scientific and Coloplast.

The registry will also fulfill the FDA’s request for the 522 post market surveillance for transvaginal mesh for POP, including industry-sponsored studies.  AUGS is working with industry to give POP mesh one last chance after the FDA moved to reclassify it as high-risk.  Manufacturers can conduct clinical trials to prove safety and efficacy or the FDA may allow manufacturers to rely on post approval monitoring to satisfy the three year monitoring and prove POP mesh is safe.


always-there-bscAUGS OUTREACH

AUGS is reaching out to the public through its funded, Take the Floor: Voices for PFD website was launched in 2011 to talk about pelvic organ prolapse.

The “Voices” are underwritten in part through educational grants from Allergan, Astellas Boston Scientific, Medtronic and Pfizer.   Women can dialogue with doctors through a Mobile Voices App or find a urogynecologist, part of AUGS.

Take the Floor tells the public that mesh may be appropriate for repair of pelvic organ prolapse in some cases.

“AUGS does not support the routine use of transvaginal mesh for the repair of pelvic organ prolapse, but there may be particular circumstances when the placement of transvaginal mesh is beneficial and appropriate. Placement of transvaginal mesh for pelvic organ prolapse should be used cautiously by experienced surgeons with extensive training in pelvic surgery.”

Dr. Hale said AUGS has launched into the world of public relations and hopes to put out a positive message to the media.

In terms of future outreach, AUGS is hoping to have a presence at a 1.5 day conference March 30, 31, 2017 with the National Institutes of Health urinary incontinence conference “to stimulate research for the treatment of urinary incontinence” and to get in front of the NIH.

 

doug-hale-on-rejecting-nc-and-the-reasonsNORTH CAROLINA

Even though AUGS picks conference sites five years in advance, the organization has pulled out of Charlotte, North Carolina, as the site for the 2017 AUGS conference.

“We need to protect our members,” said Dr. Hale.

He was referring to the North Carolina discrimination bill, signed by the governor in March, that prevents local municipalities from passing anti-discrimination protections for gay, lesbian, bisexual and transgender individuals.

Hale said, “This is not a political statement,” but he admitted AUGS checked with industry before it made such a move.

Fearing a financial repercussion, Dr. Hale added that the PFD Research Foundation is a 501c3 and it has its own budget and there was no financial risk to the nonprofit for making such a move.

So in 2017, the AUGS conference will instead be held in Providence, Rhode Island. ###

 

40 Comments

  1. Jan says:

    Then why in Jesus would you sell to them without prior education of the device and making sure they have that knowledge? This should be the manufacturers responsibility to educate these physicians on such technology of your product. .you screwed the American women. You had thus device alter our bodies and butcher our insides and our lives because of your carelessness and money happy manufacturers. Now we are completely damaged because of your negligence.

    Because of the infections that I get I might never see my daughter get married and have children because of your greed.
    I can know longer work I live from place to place. Because of you I have lost my home all belongings….
    Because of you I have lost my zest for life…..because of you I have lost self-esteem
    Because of you I have lost my faith in our government, the FDA letting this happen.

    Once again you butchered us knowing what all of this and would do to us
    You wrote us a death sentence on our lives all for the greed you have for money
    You have a home, a life
    You took all that away from me…
    And you want us to settle for nothing?

    I believe with all my heart and soul you the CEO need s to be punished for taking our lives away our ability to enjoy our lives…..

    You are the same, we are not.

  2. Greg Vigna says:

    The president of the AUGS doesn’t understand that PN is now getting diagnosed early after TVT-O and TOT that are allowing combo Med Mal/Product Liability cases in State Court. These cases are valuable and will cause exposure over and above insurance malpractice caps for implanting physicians. Have 2 such cases brewing with one which is currently getting pulled out of MDL. Doctors have personal exposure over their insurance! No attorney will do a erosion malpractice case but PN cases are valuable and we know the literature shows TVT-O and TOT places the pudendal nerve in Peril. My movement is anti-TVT-O based on facts and based on valuable cases that were ignored by the first wave of attorneys who continue to ignore the value of this diagnosis. The second wave has started. GV

  3. Kitty says:

    Whoa…. who were they in the tank with?

    • Bejah Blue says:

      Kitty, I am lost. Are you speaking in parables again? Please help me understand. My mind is under siege.

      Bejah

      PS I was just writing something and it vanished. If anyone sees it please let me know where it is.

  4. Patient Advocate says:

    In 1893, Howard Kelly, a gynecologist and pioneering urogynecologist, invented an air cystoscope which was simply a handheld, hollow tube with a glass partition.[1] When the American Surgical Society, later the American College of Surgeons, met in Baltimore in 1900, a contest was held between Howard Kelly and Hugh Hampton Young, who is often considered the father of modern urology. Using his air cystoscope, Kelly inserted ureteral catheters in a female patient in just 3 minutes. Young equaled this time in a male patient. So began the friendly competitive rivalry between gynecologists and urologists in the area of female urology and urogynecology.

    Sadly, it is still a competition today. Pelvic floor leakage is not a disease, does not have to be surgically treated. It could be managed. Surgeons created surgery for incomes. Many insurance plans cover a two-day hospital stay for a vaginal delivery. Women are not given proper care after childbirth and do not have adequate time to heal and care for their pelvic floor. The brutality we allow to ourselves, daughters and granddaughters is coming to an end. We know too much. We are too smart to allow this to continue…

    Below are the options given to most women:

    If you have been diagnosed with pelvic organ prolapse (cystocele, rectocele or uterine prolapse), you have probably been told one of three things:

    You need surgery – mesh, hysterectomy or “repair” such as bladder or uterine suspension
    You should wear a pessary, a silicone rubber plug in various shapes to hold your prolapse in
    Do nothing and see if it gets worse.

    One day these surgeries will end because WOMEN refuse them.

    Empowering women with accurate knowledge allows them to make informed decisions regarding their healthcare. For those women who are contemplating urogynecological surgery and for those healthcare practitioners who are advising these women, this new edition of Christine Kent’s Saving the Whole Woman is an essential read. The evidence is substantial; restoring optimal posture and muscle function can prevent and reduce most pelvic organ prolapse and urinary incontinence. Surgery should not be your first treatment choice.

    AUGS is blinded to the empowered pelvic floor consumer who is being self educated and educating their communities and families.

    • Jane Akre says:

      There is a link to Christine Kent in the small boxes upper right of MND….. I have always liked her. She is NOT an advertiser… just a good person to know. It is a box with a womans face and it says Prolapse?

  5. Nunya says:

    The comment about it being a “new low” for a doctor to fly a patient out to remove her mesh is just plain ignorant! They trained doctors to put this crap in us, but not how to take it out in the event it fails. Probably 95 % of the doctors who implanted mesh have no idea how to remove it. So why is it so horrible for another doctor who is trained and skilled to remove the mesh? They have no clue what is going on out here do they?

    • Jane Akre says:

      You are right, there was never training on how to remove mesh because it is considered a permanent implant. Never tested in clinical trials, made of plastic, put in the pelvis, a rather dynamic spot for any human being, and it cannot be removed AND no doctor was trained on removals. Does any of that make sense? Congratulations to the doctors who do have sense and thought it through and said “I’m not going to jump onboard just yet because this doesn’t make any sense to me.” There were a few like that.

      • Cheryal says:

        I’ve had several excision surgeries due to erosion, infections, a hole as well as a tear in my vagina. Each time I was told the mesh was removed … it’s never gone and it will never be gone. When I was told I needed an abdominal exploratory surgery and the doctor urged me to get another opinion. He said God only knows what we will find when we get in. I honestly believe he knew what a mess it was since he had done two previous vaginal excisions. I’m sure he was hoping he wouldn’t have to be the one to deal with it. I did elect to go with another doctor. Little did I know until recently she is “pro” mesh and an expert witness for the mesh manufacturers. Recently went for an annual follow up due to my history, went for another opinion … Dr. could have cared less about my pain and symptoms. Was told to continue with estrace and prescribed vaginal Valium suppositories (which insurance won’t cover/pay for). Seven surgeries which all started when I was only 38.

        • Kitty says:

          She sounds like someone I know. Scarey!

        • Bejah Blue says:

          Cheryl, I am so sorry and so angry about what has happened to you. I do not really know what to say as nothing seems adequate. Maybe we are not the most intelligent creatures on the planet, maybe cats are! I am wishing we had nine lives, for one thing. Try to be happy about what there is that is still beautiful in your life, in the world. B

      • Still Standing says:

        May I offer another perspective on the “new low” remark? I know that the medical and legal people who care for or represent women with mesh complications have been upset by attorneys who arrange for their clients to fly somewhere and have a removal surgery in order to put them in a higher tier. Judge Goodwin put a warning out to lawfirms who were arranging this at one time that it was unethical. I am wondering if this is the practice the pres. was speaking about. I did not interpret that to be pointed at doctors who are providing necessary and nonlitigation driven mesh removal, such a Dr. Raz. The good mesh removal docs will do an evaluation and examination before commiting to a surgery. This is in contrast to those who fly women in on a Wednesday, operate on Thursday and send them off to home that evening or the next day without any follow up. I had one of my surgeries out of state, but it was fully coordinated with my treating physician. I do not think Dr. Hale was speaking about women who travel, but physicians who do surgery at the request of attorneys who are looking to make more money. They indeed should be scorned.

        • Bejah Blue says:

          SS, The troubling news just keeps coming. My left brain cries out, “what about the women who have been told that there is too high a probability that surgery would kill them and so are condemned to what I believe is a slow and painful death from mesh that can not be removed”. In my case three “Experts” concurred and there is a paper trail. I pray that others in my non-tier have documentation as well. Will you respond with “Life is not fair” because this is just as disturbing a truth if not more so as what some law firms are doing with the tier matter. Best wishes, Bejah

  6. Emmie says:

    Quote from article:
    Hale called a “new low” the act of some unnamed doctors who fly out patients to have a mesh removal surgery. After she has her sling removed, she expects her doctor back home to take care of her. The removal doctor never met the patient, examined or followed up after the mesh removal, he said critical of the entire process.
    ===========
    Many doctors recommend these “unnamed mesh removal doctors”. Some doctors are honest and say they cannot remove the mesh. Many attempts to remove the mesh cause more problems. Many doctors can get the majority of the mesh with one surgery. Believe me…the long flight was worth it and I would recommend the “unnamed” doctors. It was tough…but knowing what I know now…would not hesitate to do it again if needed.

    • Jane Akre says:

      Emmie- I heard that more than once from the community of urogyns. They are in the process of coming up with a Best Practices Guideline so that doesn’t continue happening. So sort of slow to the plate, but it’s happening. So if you could choose a doc who is on the learning curve versus one who has already removed hundreds if not thousands of mesh, which would you choose? PS- I did not stay for the last day, but AUGS offered a mesh removal via satellite by Dr. Veronikis…… also a mesh placement by Dr. Lucente!!

      • MESHVICTIM says:

        Lucente….wish I could say what I know about him. He hurt and destroyed so many women. “Happy Dance” doctor who never told his patients about the word “experimental”on
        the Prolift box. The “gold standard” gone sour. So Prolift is off the market since 2012 and the Prolift victims suffer and will continue to suffer the rest of their lives. So why is Lucente at St. Luke and no longer at Lehigh Valley Hospital. Insiders know how Lucente works the system. He is not to be trusted…Google “Linda Gross”and his name. So much to learn about this so called doctor. It is all about the $$$$ trail for him.

        • Jane Akre says:

          Please use the Search Bar on Mesh News and you will find lots on Lucente. His name comes up often.

        • Kitty says:

          He was with the Dutchmen

        • Cat5dog1 says:

          Dr Lucente has helped many women. He has harmed you or are you just commenting on rumors? I personally know him and trust him. When research is done you need to weed out the sensationalism to get to the truth.

          • Jane Akre says:

            Oh Cat Dog, let me share the $1.7 million ways.. as a preceptor he urged Becky Simpson to put a Prolift in Mrs. Budke when she had a #1 grade prolapse. She later died from systemic infection. Please look up the Budke trial on mesh New Desk search bar. When Dr. Anne Weber wrote in a professional journal that the implantation of polypropylene mesh was “experimental” Dr. L went to the editor and had them revise it to remove the word experimental. That way insurance would cover it. He bragged to Ethicon management and they said they were doing the “happy dance” at his accomplishment. If you are okay with a doctor who also is a consultant to industry and don’t feel his information might be biased, then okay, that’s fine for you, but other patients may want to know that before they go to Dr. L. Do you work in his office or are you married to him?

      • Emmie says:

        Jane…you are absolutely correct about making a wise choice for a removal doctor. Research and recommendations took me to the best doctor for situation and my removal. A doctor who also understands PN damage too. I lost so much in my life because of the bladder mesh. No amount of money can buy what I lost. All because greed of market share…pharmaceutical companies and certain doctors ruined lives. Dear God help the victims of this horrible mesh mess.

      • Bejah Blue says:

        Thank you mesh victim. I have long had the impression that Lucinte (sp) was a bad person. I can not recall where he is located but I remember noting that he suddenly opened an office in Beverly Hills, here is CA and I found that very suspect. Before we make any comments about any of these doctors publicly it is imperative that we research them first for many reasons. It is also important that we report any concerns to the State medical board where we live. So many people do not. B

  7. Bejah Blue says:

    I just discovered that I still have implanting doctor, Ha-Jong Kim’s private email address (UCLA)….we were such good buddies…both had baby Bulldogs).I want to say something to her about how she destroyed my life and my body. Any suggestions? Bejah

  8. Kitty says:

    That is all good but if a woman has a pathophysiology it could be very dangerous to put a fashion blindly

  9. Bejah Blue says:

    Someone please tell me why the pain becomes worse when my Uroogist told me last month there was increasing scar tissue/adhesions which I assume would help hold it in place and keep it from breaking apart. I assume it will still leach toxins. I feel like my mind is going. I may have AVMs in my mind (DES baby and crainiotomy revealed them in my brain in 2009. I remember telling the surgeon I had a dream or waking image of my brain looking like it was a tin of spagetti. I thought that was very funny at the time. His PA told me I had AVMs and I was a bleeder. Why do they withhold information from patients. Is that legal? I could have a left H. stroke any minute I guess. I am terrified. What toxins exactly have been identified so I can read about them? Why am I having all these headaches? Is it the AVM or something else, the pain in my lower left jaw…. Please GOD don’t let me die alone without someone I love with me. Please do not leave me in terrible pain…I am so terrified of pain. I finished the first series of antibiotic this morning and there is still pain in my lower left jaw. What does it mean? Am I also marked for septic shock because I can not afford a co-pay from Delta Dental? Please take very good care of your teeth and remember to be careful what you eat and drink. Do not leave a reside of sugar on your teeth after eating, rinse immediately. Love, Bejah

  10. Bejah Blue says:

    Thanks Kitty. Dear people, if you run out of pain medicine as I have (again) have I said that rubbing your tummy with Ben-Gay helps a little for a little while? The warmth feels good. I am going to get out my heating pad and lay that over my abdomen also. Wonder if a hot water “bottle” would help also. Last night I stayed up until midnight watching music videos and singing until midnight hoping that it would help me sleep and it did, it distracted me from the intensity of the pain and I was able to sleep from after midnight to after 3:00am. If you live in an apartment though, you may not want to sing along with “Dream On” at that hour. Love, B

    • Kitty says:

      Bejah. I have used a heating pad for pain on right hip and flank and it helps. I have cut my meds to 4 per day plus a few advil. And occasional tylenol. I have to use a walker or cane for distance. I use only fresh spring h20. I sing “It’s Judys turn to cry” and “It’s my partyHope to meet up with some of u ladies. Luv u all. Will be in DC this next week. If anyone wants to meet up …post and I’ll call Jane

    • Emmie says:

      God Bless you Bejah! I like your spirit and attitude. Wish you were my neighbor so I could sing along and share my pain meds with you! My pain is always worse after midnight. Usually see the sunrise.

  11. Deb says:

    Fact of the matter is that IF local doctors were taking care of their patients, and actually helping those with mesh complications (rather than avoiding and blaming everything and anything BUT the mesh), women would not feel the need to travel to a doctor for mesh removal. Nobody WANTS to travel all over the place to get medical care. They do it, because they are desperate for help they are not receiving locally.

    Fact of the matter is MOST doctors that implant mesh, have no idea how to remove it if/when there’s a problem…. yet, they keep putting it in as many as possible anyway… and then acting like women are crazy when they fly to an expert for help.

    So infuriating.

    • Jane Akre says:

      It is rather nonsensical isn’t it? Women want to travel across the country? The allegation that women submit themselves to additional surgeries to up their mesh settlement dollars is beyond reason, in my opinion.

  12. Diva 64 says:

    I have found since gathering MRI and CT for my attorneys that doctors would rather blame anything other than Mesh esp ER doctors that you inform that that you have mesh they order the test w/o pelvis. I have gotten to the point that the medical field I see as a corrupt organization, ok for a broken bone or a laceration but beyond that you would be much better off staying home and praying. As God will do much more for you and not send you a bill.
    I do not understand how any Mesh Manufacture could offer a woman $5,000. the cost of the vaginal ectracreme is basically a thousand dollars a year. We have been mutilated, put in pain for years suffer infection after infection, autoimmune diseases destruction of our organs cancer, multiple surgergies , nerve damage, loss of income, ruined credit , loss of autos, homes, husbands, lovers, activies, pleasures in life, And someone wants to offer 5thousand dollars take it or leave it, I can’t see that doing anything but causing someone to go after them, not me I am not violent, but someone out there is.Plus we will keep their name on a black list telling how they harm humans, until hell freezes over. No woman is going to subject herself to multiple surgeries or even one surgery of this type for a paycheck. Polypropylene and it’s effects are just now becoming known to the public, just as the toxins in the breast implants. The war on women has just begun, and we are a force to be reckoned with. I am shocked also that AGUS would suggest that attorneys have sent their clients to have mesh removal surgery to enable them to obtain a larger settlement. That is the manufactures still sitting in denial that their product has harmed us. I would like for any of the Mesh Manufactures to offer up their mothers or daughters for this surgery I would say their wife, but they might not care about her as they apparently do not respect women as a whole to begin with. I am just sorry that we have a flock of medical professionals that have bought into their crap instead of listening to their patients, I know they were taught in medical school to listen to the patient.Who knows what the future will hold, as science goes forward. Maybe I well move to a country that hasn’t advanced as far as the US has.It is a sad day in the world of medicine. I am so sorry all of the mesh patients have had to suffer this way. Does anyone know of a Mesh Patient that has not had post op complications and is 5-10 years post op. Is anyone tracking the deaths of the Mesh Patients.

    • Jane Akre says:

      I have a friend with a sling and shes not had any problems…hoping she doesn’t.

      • Still Standing says:

        I have 4 or five friends who have had slings and no problem. A couple are 8-10 years out. The two women I know of who had transvaginal mesh for prolapse have complications. I do believe that there are life events or lifestyle behaviors that increase the potential for complications and the manufacturers certainly had enough information about those things to inform the physicians who could have used more appropriate screening tools.

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