Meshes For Incontinence and Prolapse

Dr. Siegel opines on mesh implants for incontinence and pelvic organ prolapse.

Category:

Education

Tags:

• dropped bladder
• ObTape sling
• IVS sling

[PoetPindar]

I enjoyed your presentation. As one of the lawyers "aggressively" representing my client (my only case for mesh complications) how do you respond to physicians like Dr. Shlomo Raz at UCLA who is removing mesh for serious complications 15 to 20 times per month for the last 6 years or so? Is this due to the surgeons who attended the weekend courses from the "mesh kit companies"? Or is it as Dr. Raz states that it occurs from chronic infection from the body rejecting the mesh?

[incontinencedoc]

@PoetPindar Dr. Raz is my mentor; I did my fellowship training under his guidance. UCLA is a tertiary center and Dr. Raz does a lot of "clean up" work that accounts for the complication volume. To reiterate: there is the mesh factor, the surgeon factor, and the patient factor. I contend that the quality meshes in the properly selected patient implanted by a skilled surgeon rarely cause issues. I believe that the problem lies in patient selection and surgical technique. AS

[sherriepalm]

Extremely informative piece Dr. Siegel, thank you for sharing your insights. Whether or not to have surgery for POP repair is a difficult decision on it's own; the current controvery about the pros/cons of mesh have made that decision even more difficult for women facing treatment for pelvic organ prolapse. Your video covers the necessary basics women she know. Being fully informed is step one in the POP dynamic.

Sherrie Palm, Founder/President

Association for Pelvic Organ Prolapse Support