If you’ve had transvaginal surgical mesh implanted to correct your pelvic organ prolapse, our hope is that the device is functioning smoothly, allowing you to get on with your life. Unfortunately, this is not the case for some women, who experience serious complications from a mesh gone awry, often leaving them worse off than before.

At Boston Urogyn, under the expert guidance of Dr. Neeraj Kohli, we specialize in helping women in Wellesley, Massachusetts, regain control of their pelvic health through mesh removal and pelvic reconstruction.

If you’ve developed complications surrounding your transvaginal mesh, here’s a look at the problem and how we can help you find much-needed relief.

It worked until it didn’t

Transvaginal mesh is a surgical solution to correct pelvic organ prolapse by providing additional support for a weakened pelvic floor. The technique was first used to correct hernias in the 1970s, and gynecologists have turned to the procedure to correct pelvic organ prolapse ever since. During the 1990s, many women had mesh implanted in order to also address stress urinary incontinence.

The meshes being used were largely made from nonabsorbable synthetic polypropylene, and for the most part, offered an immediate solution to the problem. Unfortunately, as time went on, some women experienced complications, such as:

• Vaginal scarring

• Urinary problems

• Infections

• Recurrence of pelvic organ prolapse

The reason these complications developed was mesh erosion and subsequent scarring. This breakdown of the mesh can cause considerable pain and even recurrent pelvic organ prolapse for some women, putting them right back to where they started or a bit worse off than before.

If you find yourself in this unfortunate group, rest assured, there is a solution.

Restoring order

As a pelvic reconstruction specialist and urogynecologist, Dr. Kohli has extensive experience helping women deal with a host of problems that affect their reproductive organs. If you’re experiencing problems following your vaginal mesh implantation, Dr. Kohli and our team are just the experts you need.

To start, we thoroughly analyze your problem to figure out exactly what’s going on with your mesh. Some mesh erosion is tricky, depending upon how long it’s been malfunctioning. Your body’s natural response to any damage is to build scar tissue or adhesions, so when your transvaginal mesh begins to malfunction, your body creates scar tissue to protect itself. Unfortunately, this response can bring on a adjunct problems if the tougher scar tissue interferes with your pelvic organs and tissues.

When we address transvaginal mesh complications, our first order of business is to remove as much of the mesh as we can, as well as any adhesions that are causing you problems. Dr. Kohli also makes any necessary repairs to damaged tissue in order to help relieve your pain and restore function.

With the offending material removed, you should experience relief from your symptoms, but we still may need to prevent further pelvic organ prolapse by different means, including BOTOX® and pelvic floor physical therapy, both of which offer great results without the complications of the mesh.

The bottom line is that we have the experience and expertise necessary to help you regain your quality of life after complications from transvaginal mesh. Simply give us a call to get started, or use the easy online booking tool on this website to set up a consultation.