FDA Reports to Patients on Risks of Vaginal Mesh
March 27, 2013
The FDA wants patients with pelvic-organ prolapse to know that having a surgery with transvaginal mesh may put you at risk for needing additional surgery, and in some cases, repeat surgery may not resolve complications. Click here for the full patient advisory PDF.
Controversies in the Field of Urogynecology: Mesh Used in Vaginal Surgery
Message from the Urogynecology Division, Department of Obstetrics and Gynecology, Mount Sinai St. Luke’s and Mount Sinai West
An ongoing public controversy was stimulated by the FDA’s 2011 warning regarding the use of synthetic mesh in vaginal surgery for prolapse.
As a matter of fact, departmental urogynecologists Lisa Dabney, MD, and Anne Hardart, MD, have never used much mesh in their practices. They have been especially reluctant to use mesh to augment pelvic-organ-prolapse repairs performed through the vaginal route. Fortunately, they have extensive expertise in performing these procedures vaginally without the use of mesh—and they have had excellent results.
However, Drs. Dabney and Hardart do agree that there is occasionally a role for certain types of mesh in the surgical treatment of urinary incontinence and pelvic organ prolapse. They have used synthetic slings in the treatment of stress urinary incontinence in over 700 patients with excellent results and extremely low complication rates. In addition, mesh placed by the abdominal route has a well-defined role with low risk. Lastly, vaginal mesh may have a role in a certain few patients with recurrent prolapse.
If you begin a doctor-patient relationship with either of them, you can feel confident that Drs. Dabney and Hardart will have a long discussion with you about your problems and what approach is best for you. These urogynecologists consider each case carefully to make sure that each patient gets the procedure that is right for her.
Find out more about these doctors, the Urogynecology Division, and the Department of Obstetrics and Gynecology at Mount Sinai St. Luke’s and Mount Sinai West.