Dr. John Miklos and Dr. Robert Moore – Blog
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Drs. Miklos and Moore Release Vaginal Mesh Complications Case Studies
Vaginal Mesh Complication Treatments - Case Studies
Dr. John R. Miklos and Dr. Robert D. Moore have released a series of case studies relating to treatments of complications resulting from vaginal mesh surgeries, listed below. To see the complete case studies, as well as scientific papers and discussion of mesh complications, please visit http://www.meshsurgeons.com.
TVT Sling Complications
The patient of this case study is a 40+ year-old woman who had lower abdominal pain and urinary retention following her TVT Sling (Lynx Sling, Boston Scientific) surgery in 2007.
In this operation, Drs. Miklos and Moore performed a laparoscopic and vaginal removal of the entire mesh sling, resulting in the patient's ability to completely empty her bladder within 48 hours for the first time in three years.
Gynemesh Posterior Mesh Complications
The patient of this case study is a 40 year old who experienced vaginal pain (intensified by sexual intercourse) following a Gynemesh graft to treat a rectocele and posterior vaginal vault prolapse (the graft was performed by another surgeon).
Drs. Miklos and Moore diagnosed that the mesh was the source of the pain in question, and removed it without complication. Among the mesh complication procedures Atlanta Urogynecology Associates treat, this is one of the more common ones, along with similar procedures involving posterior Prolift, Apogee, Elevate, and Avaulta meshes.
Sparc (TVT-type) Sling Complication
The patient of this case study displayed symptoms of urethra pain, bladder urgency and frequency, and difficulty empying her bladder after having undergoing a transvaginal hysterectomy, anterior and posterior repair, and a Sparc sling.
Drs. Miklos and Moore performed a sling revision and removal as well as a neovagina procedure to lengthen her vagina. The end result was a dramatic reduction of the bladder urgency as well as a fully functioning vagina.
Vaginal Mesh Extrusion and Prolapse
The patient of this case is a 58-year-old woman who experienced vaginal mesh extrusion and recurrent prolapse as well as pain to her partner's penis during intercourse as the result of an anterior repair with a vaginal mesh kit for cystocele. In addition to the mesh extrusion, an examination revealed vaginal vault prolapse, apical enterocele and a high cystocele.
Drs. Miklos and Moore performed an excision and repair of the exposed mesh as well as a laparoscopic sacralcolpopexy and enterocele repair within one setting resulting in a recovery without problems.
Perigee and TOT Sling Complication
The patient of this case study is a 53-year-old woman with vaginal and pelvic pain, pain during intercourse, and urinary urgency/frequency as a result of complications following a Perigee vaginal mesh for cystocele and a transobturator (TOT) sling for stress urinary incontinence.
Upon inspection, Dr. Moore found that the arms from the Perigee graft and the TOT sling were too tight and the mesh and sling themselves were causing urinary obstruction. Following the release and removal of the mesh graft and sling, the patient experienced less pain than she had since her initial surgery.
Gortex Mesh Graft Extrusion
This case study's patient is a 72-year-old woman with a history of vaginal surgeries including uterine suspension, a hysterectomy, paravaginal repair, enterocele repair, posterior repair and anterior repair. Following these surgeries, as well as a gortex mesh-based sacral colpopexy, the experienced bloody vaginal dischage, during from intercourse, and extrusion of the vaginal mesh.
The patient's medical history presented a unique situation which Drs. Miklos and Moore treated with the removal of the entire Goretex graft up to the tailbone vaginally (as opposed to being performed via laparoscopic incisions).
TVT-O Sling (TOT Sling) Complication
The patient of this case study is a 73-year-old woman who experienced incomplete bladder emptying, recurring urinary tract and bladder infections, recurrent cystocele, vault prolapse, and pelvic pain following multiple surgeries in 2007 including a TVT-O Sling.
In a series of procedures lasting less than an hour, Drs. Moore and Miklos performed sling revision and removal, and anterior elevate for her recurrent cystocele and vaginal vault prolapse. The patient has since recovered well.
Leg and Groin Pain from TOT Sling
The patient of this case study is a 48-year-old woman who experienced intense leg, groin, and vaginal pain following a TOT Sling operation to treat her condition of stress urinary incontinence.
Drs. Miklos and Moore removed the sling to prevent chronic pain as well as never injury.
Posterior Avaulta for Rectocele Complications
This case study's patient is a 56-year-old woman who had become unable to have intercourse as a result of a prior rectocele repair with posterior wall mesh. Drs. Moore and Miklos found that the mesh had bunched up in the mid-portion of the vagina and that the lateral arms were positioned too low in the vagina.
The doctors removed the mesh graft and revised the rectocele repair, resulting in pain-free intercourse and a cured rectocele.
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