Slings operations work very differently from mesh sheet implantations and should not be banned
Journal Title: Pelviperineology - Year 2021, Vol 40, Issue 1
Abstract
Baroness Cumberlage has overreacted banning midurethral slings along with mesh sheets placed behind the vagina. We should all support the banning of mesh sheets. Midurethral and other slings work differently from mesh which does not correct the prolapse. Mesh sheets just block the prolapse from descending. In the process the vagina is fibrosed. This can trap nerves to cause pain, and interfere with the closure and opening mechanisms of the bladder to cause massive incontinence. These mechanisms rely on a vagina which has adequate elasticity. The midurethral sling operation is the most validated operation in surgical history with more than 1,000 publications attesting to its safety and efficacy. It was tested with animals and seven prototype operations prior to release in 1996, 10 years after the animal experiments began. Slings work differently. They have very little contact with the vagina and so don’t fibrose it. Nerve trapping is rare. Banning slings leaves women with very few options. Hopefully the authorities will re-examine mesh slings and restore them. Of significant help to this are 3-year data from sling operations using next generation tapes with no erosions at all in that 3 years.
Authors and Affiliations
PETER PETROS
Keywords
Related Articles
- EP ID EP693737
- DOI 10.34057/PPj.2021.40.01.001
- Views 106
- Downloads 0
Magnetic resonance imaging of pudendal nerve: technique and results
Objective: To update the ongoing contribution of magnetic resonance imaging (MRI) in clinical practice Materials and Methods: The imaging series of pelvic MRI examinations carried out in 580 consecutive patients (401 wo...
Effects of the apical suspension of the upper vagina by cervicosacropexy or vaginosacropexy on stress and mixed urinary incontinence
Objective: Cervicosacropexy (CESA) and vaginosacropexy (VASA) are standardized surgical procedures to elevate and tighten the apical end of the vagina. A combination of CESA or VASA, and a transobturator tape was reporte...
Prevalence of malignant uterine pathology in utero-vaginal prolapse after vaginal hysterectomy
Objective: The aim of this study was to establish the prevalence of malignant uterine pathology after vaginal hysterectomy (VH) due to asymptomatic uterovaginal prolapse. Materials and Methods: A descriptive observation...
Case report: Treatment of episiotomy scars according to the concept of Fascial Manipulation®
The widespread use of episiotomy contributes to pelvic floor muscle dysfunction and concomitant complaints. The biomechanical model of the Fascial Manipulation method addresses the consequences of episotomy. Ailments suc...
The Tethered vagina syndrome teaching module
No Abstract