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What to Understand Pre-mesh: Graphic Videos of Mesh Removal and Sling Incision Treatment

Eroded mesh, YouTube video

The Cleveland Clinic is renowned for some pretty innovative procedures and reputable doctors. Among them, Dr. Howard Goldman, Cleveland Clinic Dr. Howard Goldman provides video demonstrates a “simple sling incision” which cuts a synthetic sling used to treat incontinence if the patient is having complications. Many doctors feel anything other than a complete extraction leaves behind the complications of synthetic mesh.

Remember mesh placement is intended to be a permanent medical treatment and the decision should not  be taken lightly, especially in light of the FDA’s July 13, 2011 notification about benefit versus risks. (Background story here.)

*Editors note– His bio says Dr. Goldman has received funding from Johnson & Johnson, among others. Here is his bio.

According to Dr. Goldman, one to five percent of sling placements result in urinary or urethral obstruction. In the past, a full removal was recommended if there was an obstruction, but in this video on YouTube he shows how a simple sling incision can give a “positive outcome” and shows the incision of a  midurethral polypropylene sling. In this video he actually cuts until he finds the blue sling- Warning– this is disturbing! Video here.

In the second YouTube video, Dr. Goldman shows the mesh incision of a bladder neck sling using a scapel. The surgeon must know the exact type of sling and where it’s placed, whether at the bladder neck or mid urethral area, as the cuts could be different. “This is a straight forward operation,” involving incision of the sling, he says.

Excision of Transvaginal Mesh Extrusion

In this video by Cleveland Clinic’s  Howard B Goldman. Mia Swartz, a mesh “excision” allows for a complete removal. In this video a 71-year-old woman has mesh that eroded through the cystocele wall. Not only is it disturbing but so is the playful, light music.

“When managed properly, mesh extrusion should result in minimal patient morbidity” says the full screen graphic.  Video is here.


  1. I tried watching this video and had to quit. The3 reason I tried watching it because one woman called me last night who is in dire straights after partial removal by this doctor. She may die. I think everyone should be warned.

  2. Kathleen says:

    This Doctor’s findings confuse me as an EXCISION is a PARTIAL REMOVAL but and EXPLANT surgery removes it completely. I just talked to a woman who used this Doctor for a partial removal and she is not doing well. I hear he is a nice person though. But it is so important to have the skill level to remove mesh completely and safely.

  3. Amy G says:

    I opted out of a partial removal to restore my ability to urinate-largely because that was the least of my concerns compared to the relentless pain from mesh——I am much better now.

    I would like to know if anyone reading here has had a success with partial excision-I am yet to meet anyone who did well with partial excision—-who on earth wants repeat surgeries.

  4. Jane Akre says:

    Good Question Amy- I too would love to hear from someone who is doing well after a partial removal.

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