What are the safety concerns about use of surgical mesh to treat pelvic floor disorders?

Each type of mesh procedure carries its own risks and benefits.

Due to reports of complications during or after surgery for POP, in 2016 the FDA changed the classification of surgical mesh to repair POP transvaginally from a moderate-risk device to a high-risk device. The FDA orders apply only to transvaginal use of surgical mesh to treat POP. The orders don't apply to the use of transvaginal mesh for SUI.

Research has shown that surgical mesh for transvaginal repair of POP can cause complications such as mesh erosion, pain, infection, bleeding, pain during sex, organ perforation and urinary problems. Many of these complications require additional treatment, including surgery.

Treating SUI with a mesh sling also can cause complications, including mesh erosion, infection and pain. However, some research suggests that the complications are less frequent and usually less severe than are complications associated with surgical mesh for transvaginal repair of POP, and usually do not require follow-up surgery.

What questions should I ask before seeking a mesh treatment for a pelvic floor disorder?

If you're considering treatment for a pelvic floor disorder that involves surgical mesh, be sure to have your health care provider explain all of your options, as well as their possible risks and benefits. In particular, be aware of the risks associated with surgical mesh for transvaginal repair of POP, such as the need for additional surgery due to mesh-related complications.

July 22, 2017 See more In-depth