Vaginal Mesh Removal & Mesh Erosion Surgery
WHAT ARE THE SIGNS AND SYMPTOMS OF VAGINAL MESH EROSION?
Women experiencing complications from vaginal mesh, transvaginal prolapse mesh or bladder sling surgery may require
vaginal mesh removal when the mesh has become exposed, eroded or has migrated into surrounding tissues or organs.
Mesh erosion can involve the urethra, bladder, rectum or bowel and may cause symptoms specific to the location of the mesh.
Dr. John Miklos and Dr. Robert Moore have extensive experience evaluating and treating complex vaginal mesh complications,
including vaginal mesh removal surgery for mesh erosion involving surrounding pelvic structures.
The most common signs and symptoms of vaginal mesh erosion include:
Urethral Pain or Burning – May occur when mesh erosion involves the urethra.
Bladder Pain or Burning – May occur when mesh has eroded into or involves the bladder.
Blood in the Urine (Hematuria) – Can occur with mesh erosion involving the urethra or bladder.
Rectal Pain or Burning – May occur when mesh erosion involves the rectum.
Rectal Bleeding or Blood in the Stool – Can occur when mesh has eroded into or affected the rectum or bowel.
Painful Intercourse (Dyspareunia) – May occur with vaginal mesh erosion or other mesh complications involving the vagina and surrounding pelvic structures.
Women experiencing these symptoms after previous mesh or bladder sling surgery should be evaluated to determine the location and extent of the complication and whether
partial or complete vaginal mesh removal may be appropriate.
WHY CHOOSE MIKLOS & MOORE UROGYNECOLOGY FOR VAGINAL MESH REMOVAL & MESH EROSION SURGERY?
Dr. Miklos is a highly experienced and skilled surgeon who specializes in the treatment of mesh complications and vaginal mesh removal. He has removed more than 1,000 pieces of mesh and has been removing mesh since 1994. Few surgeons in the world can make this claim.
Dr. Miklos has a patient-centered approach to care and listens to the patient’s point of view, which is not always supported by the scientific literature. He takes the time to thoroughly evaluate each patient’s unique situation, develop a personalized treatment plan and make recommendations based upon her history, symptoms and examination. However, it is the patient who will make the final decision when proceeding with surgery.
Dr. Miklos truly believes in making the patient an informed consumer so she can ultimately make the right decision in an effort to minimize or stop her pain and suffering. Overall, choosing Dr. Miklos for your mesh complication or vaginal mesh removal surgery can provide you with the expert care and support you need when considering treatment.
EXPERIENCE – First and foremost, at Miklos & Moore Urogynecology the doctors listen. They have decades of experience removing mesh and have seen, treated or removed just about every type of transvaginal mesh and its related complications. They have removed more than 1,000 pieces of mesh with minimal complications and superior success. (Figure 2)
EXPERTISE – Dr. Miklos has treated patients from all over the world for mesh complications. Drs. Miklos and Moore have produced award-winning videos that have received international recognition for their mesh-removal techniques. Dr. Miklos has taught postgraduate courses on mesh removal at conferences in the USA, Africa, Europe, the Netherlands and Australia. He has also received patient referrals from professors affiliated with Harvard, Cleveland Clinic and Mayo Clinic.
KNOWLEDGE – Dr. Miklos was a Rule 26 medical-legal expert in the MDL (Multidistrict Litigation) lawsuits involving transvaginal mesh. He understands many of the practical issues involving the law and malpractice cases facing patients today. He is also a leader in the field of mesh complications and has authored some of the largest published papers on mesh complications and mesh removal in the medical literature. (Figure 1)
RESULTS – Miklos & Moore Urogynecology have addressed and removed some of the most difficult transvaginal mesh devices made and implanted in the human body. Though no one can guarantee the success rate for resolving a patient’s symptoms, Dr. Miklos can usually remove >95% of the mesh load >90% of the time. He can totally remove the complete implant most of the time when it is indicated.
Here at Miklos & Moore Urogynecology, we have removed approximately 1,000 pieces of vaginal mesh devices. When removing these devices, it is usually important to remove as much mesh as possible, especially from the soft tissue (i.e., vagina and pelvic floor muscles) in patients suffering from chronic pain.
Dr. Miklos has performed vaginal mesh removal for transvaginal mesh that has eroded into neighboring organs such as the urethra (Video 1), bladder, small intestine and rectum (Video 2).
Published multicenter study involving the removal of 506 pieces of vaginal mesh used in pelvic floor reconstruction.
Figure 1: The largest mesh removal series in the world.
Dr Miklos removed 400 of these 506 pieces of mesh
TVT sling mesh involving the colon, demonstrating a complex mesh complication requiring surgical removal.
TVT Sling Mesh in Colon
RECOVERY TIME AFTER VAGINAL MESH REMOVAL & MESH EROSION SURGERY
Recovery time after vaginal mesh removal depends upon the amount of mesh removed, the location of the mesh and whether concurrent reconstructive surgery is performed. In general, if a patient is undergoing mesh removal without additional reconstructive surgery, she may be able to return to normal activity in approximately 6 weeks.
However, if a patient is undergoing mesh erosion removal along with reconstructive vaginal surgery, recovery may take approximately 12 weeks. This does not mean the patient will experience pain for the entire recovery period. Rather, the additional time allows the reconstructed tissues to properly heal and scar into place.
Recovery after vaginal mesh removal surgery can vary from patient to patient depending on the complexity of the surgery, the amount of mesh removed and whether the bladder, urethra, rectum, bowel or other surrounding structures are involved. Drs. Miklos and Moore provide each patient with individualized postoperative instructions based on the extent of her surgery.
TVT sling Urethral Erosion
Posterior Vaginal Wall Mesh Removal for Rectal Erosion & Pelvic Pain