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 124
- Downloads 0
Pelviperineology: a new life
No summary
Bilateral Sacrospineous Colposupension in the treatment of female genital prolapse: Risk-Benefit Considerations and Six Months Follow-up
Objective: Central defects in the stability of the pelvic floor present an anatomical problem that afflict women frequently at an advanced age, but also are observed in young women with typical risk factors i.e. obesity...
Slings operations work very differently from mesh sheet implantations and should not be banned
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 w...
Medical approach to urinary retention after vaginal hysterectomy
A 65 years old women presented with grade 3 descensus, grade 4 cystocele, grade 2 rectocele. The patient had no complaints of urinary incontinence. She underwent vaginal hysterectomy, colporrhaphy anterior, colporrhaphy...
Tethered vagina syndrome
The key to understanding the pathogenesis leading to the “Tethered vagina syndrome” and its cure by a skin graft applied to the anterior vaginal wall is to understand the importance of the three oppositely-acting directi...