What if I could go back in time to before I had my mesh implant for SUI? What are the things I wish I had known? What do I think I SHOULD have been told? What do I think are the basics that everyone should know before they have surgery for any pelvic repairs, including POP (Pelvic Organ Prolapse), Bladder Prolapse, and SUI (Stress Urinary Incontinence)?
These are the top 10 on my list:
FDA warnings went out to doctors and the general public regarding MESH used for POP (Pelvic Organ Prolapse) in 2008, 2011, and a few news releases since then. Even though these warnings are mostly geared towards POP repairs, they also contain a lot of information regarding reported complications for SUI (Stress Urinary Incontinence). There seems to be some debate regarding the safety for mesh used for POP vs SUI. Still, in these warnings, there are specific warnings and guidelines for doctors and the general public that I would think anyone considering having TVM (transvaginal mesh) repairs would want to know, and should be made aware of.
I wish my doctor really explained to me that these FDA warnings existed, and that they directly pertained to the kind of surgery I was having. Not just gloss over general complications that apply to any surgery, but discuss the SPECIFIC warnings regarding TVM. Things like: complications are: “not rare”; how serious and often permanent complications can be, and that there is no evidence that pelvic repairs using mesh provides any clinical benefit compared to traditional surgery.-