What is Pelvic Mesh Removal Used For?

Pelvic Mesh is one option for women who are suffering from pelvic organ prolapse (POP). If they have prolapsed organs, they may opt for surgery to treat serious symptoms of the prolapsed organs.

One option is to use pelvic or transvaginal mesh. There are several surgical methods of repairing pelvic floor disorders exist, including this method known as transvaginal mesh implantation.

Dr. Ali Ghomi is among the first group of surgeons in the country who received board certification in pelvic reconstructive surgery, formerly known as urogynecology. Dr. Ghomi uses his expertise to aid women in pelvic floor dysfunctions including the treatment of pelvic organ prolapse. If you are experiencing symptoms of pelvic organ prolapse or have complications from your pelvic mesh treatment, contact Dr. Ghomi to discuss your symptoms and repair. To get relief, please call (862) 657-3150 or request an appointment through our secure online form to schedule a consultation at our urogynecology office in North Jersey.

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Why Pelvic Mesh Removal?

Some women experience complications from pelvic mesh and may seek to have it removed. Transvaginal mesh removal is a complex surgical procedure where surgeons attempt to remove as much of the mesh as possible.

Common complications reported include:

  • Chronic pain
  • Infection
  • Bleeding
  • Pain during intercourse
  • Urinary problems
  • Exposure of the mesh through the vagina

Complete transvaginal mesh removal is possible for some women, while for others, only partial removal is feasible due to complications with the type of mesh originally used.

Who May Need Pelvic Mesh Removal?

Each year, approximately 200,000 inpatient surgeries are performed for pelvic organ prolapse (POP) in the U.S. This is one of the most common reasons for surgery, with many women choosing transvaginal mesh as part of their treatment.

In recent years, the use of synthetic and biologic mesh for transvaginal prolapse surgery has increased, driven by the availability and marketing of commercially available pre-packed mesh delivery systems or “mesh kits.”

However, this rise in popularity has also led to a growing number of women reporting serious complications that significantly impact their quality of life. The FDA issued a warning in 2011, highlighting concerns and raising awareness of these issues. Learn more from the FDA’s warning.

Specifics of Pelvic Mesh Removal Surgery

Transvaginal mesh is primarily used for pelvic organ prolapse and is considered a permanent implant. However, many women now opt for removal of the mesh.

Removing the mesh can be challenging because tissue grows around the mesh over time. The surgery becomes complicated as the mesh must be removed without damaging the surrounding tissue and organs. The extent to which the mesh can be removed may depend on the type of mesh or mesh kit used during the original procedure.

What Are the Risks of Pelvic Mesh?

  • Mesh erosion – the breakdown or wearing away of the mesh over time
  • Mesh exposure – the mesh wearing through vaginal tissue and becoming exposed

How Are Pelvic Mesh Issues Treated?

  • Observation
  • Estrogen creams
  • Removal of the mesh
  • Mesh excision – a procedure in which local anesthetic is used to remove exposed mesh
  • Removal of the majority of the mesh through surgery

Dr. Ali Ghomi will work with you to determine the best treatment option for your individual case.

What is Pelvic Mesh Removal?

Pelvic mesh removal requires expert surgical skills, but when performed by an experienced surgeon, it can be done safely with minimal complications and significant symptom relief. Complete removal of the mesh may be possible if it was originally placed via a fully transvaginal approach.

Your surgeon will discuss the risks and benefits specific to your case to determine the best course of action.