Vaginal Mesh Complications – They Include Autoimmune / Systemic / Allergic Reactions
Vaginal Mesh Complications --- Include Autoimmune / Systemic / Allergic Reactions? It has come to Dr Miklos’ attention that vaginal mesh might produce autoimmune, systemic, and allergic reactions such as: rash, welts, hives, itching, urticaria, dry eyes, muscle aches/pain, malaise, hair loss, and fibromyalgia. Though science does not support that synthetic mesh causes the above problems, it is well known that there are people without mesh who have [...]
MRKH Course by Dr. John Miklos with Mayo Clinic & Duke University
TEACHING MRKH SURGERY with MAYO CLINIC & DUKE UNIVERSITY Dr. John Miklos – Neovagina Surgeon MRKH surgeon, Dr. John Miklos has been asked to teach a postgraduate course on MRKH / Mullerian Anomalies by course director Dr. John Gebhart of Mayo Clinic and Duke University urogynecologist Dr. Kassandra Kisby and at the 50th Annual Scientific Meeting of the Society of Gynecologic Surgery in May 2024. The focus of [...]
MESH EROSION SURGERY
WHAT ARE THE SIGNS AND SYMPTOMS OF MESH EROSIONS? Mesh erosion means the mesh has migrated into a neighboring organ such as the urethra, bladder or rectum. Migration or erosion into each organ will cause specific symptoms and cause the patient to present with symptoms specific to that organ. The most common signs and symptoms are: Urethral Pain/Burning – with mesh urethral erosion. Bladder Pain/Burning – with mesh bladder [...]
PELVIC MESH COMPLICATIONS
WHAT ARE THE SIGNS AND SYMPTOMS OF PELVIC MESH COMPLICATIONS? When patients and surgeons talk about pelvic mesh, they could be speaking about one of many different types of mesh procedures, including TVT slings, TOT slings, single incision slings, sacralcolpopexy, anterior vaginal mesh, posterior vaginal mesh and vaginal vault mesh. The symptoms associated with these mesh procedures include: Mesh exposure - the most common complication. Mesh exposure is transvaginal mesh [...]
PARTIAL MESH REMOVAL SURGERY
WHAT ARE THE SYMPTOMS / PROBLEMS OF PARTIAL MESH REMOVAL? When people and surgeons talk about pelvic mesh, they are usually talking about mesh which was used to support the bladder, rectum, uterus or the vaginal vault (the deepest 25% of the vagina). When they talk about mesh slings, they more commonly use the term” sling” including TVT slings, TOT slings, single incision slings. For the purpose of this [...]
PARTIAL SLING REMOVAL SURGERY
WHAT ARE THE SYMPTOMS / PROBLEMS OF PARTIAL SLING REMOVAL? Patients who best benefit from only partial sling removal are rarely patients who suffer from severe chronic pelvic pain. Don’t get me wrong they may have pain and it may be long term, but rarely is it severe. Then again as a surgeon who has been performing these surgeries (mesh removal) for 25 years, I always learn something new. [...]
BLADDER SLING COMPLICATIONS
WHAT ARE THE SIGNS AND SYMPTOMS OF BLADDER SLING COMPLICATIONS? When patients and surgeons talk about bladder slings, they are primarily speaking of slings for the urethra to stop stress urinary incontinence (SUI) or leakage due to cough and sneezing. The slings most utilized for stopping SUI are the TVT, TOT and single incision slings. (See below) Complications which can occur after placing the mesh sling include: Chronic Pain- [...]
BORN WITHOUT A VAGINA – MRKH SYNDROME
BORN WITHOUT A VAGINA – MRKH SYNDROME Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital condition that affects 1/4500 women and is associated with a patient born without a vagina, born without a womb, and born without a uterus or a very short vaginal canal. The technical term for this condition is Mullerian agenesis which means the Mullerian ducts did not develop, and this leaves the patient with an absent vagina [...]
TRANSVAGINAL MESH PROBLEMS
WHAT ARE THE SIGNS AND SYMPTOMS OF TRANSVAGINAL MESH PROBLEMS? Transvaginal mesh is a term which usually means that a piece of mesh was placed through the vagina and under the vaginal skin to support a falling structure like the bladder, rectum, vaginal vault, or the uterus. It is true that the TVT, TOT and single incision slings are transvaginal mesh procedures, but they are used to support the [...]
FAILED MESH PAIN SURGERY
WHAT ARE THE SIGNS AND SYMPTOMS OF FAILED MESH? Patients can have immediate or delayed failed mesh results. The goal of the mesh is to support and keep the patient from having recurrent cystocele, rectocele, vaginal vault prolapses or stress urinary incontinence. The most obvious failure is the recurrence of the vaginal prolapse or incontinence. However, after the surgery one may find that the patient has excellent support for [...]
BORN WITHOUT A UTERUS / WOMB – MRKH SYNDROME
BORN WITHOUT A UTERUS / WOMB A woman who is born without a uterus, also described as being born without a womb, has a congenital condition known as Mullerian agenesis or MRKH also known as Mayer-Rokitansky-Kuster-Hauser Syndrome. Mullerian agenesis means the embryologic structures, the Mullerian ducts, have not developed fully or normally and this results in poorly developed or the absence of uterus, cervix, fallopian tubes and vagina. The [...]
FAILED TOT SLING REMOVAL SURGERY
WHAT ARE THE SIGNS AND SYMPTOMS OF A FAILED TOT SLING? The TOT (trans obturator tape) mesh sling is made to treat stress urine incontinence i.e., SUI. If one places a TOT sling and it doesn’t correct the SUI, then that would be considered a failure. The patient would feel leakage with coughing and sneezing and the healthcare professional could see the leakage during an exam. A failed TOT [...]
DANGERS OF SEX WITH MRKH
DANGERS OF SEX WITH MRKH Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital condition that suppresses the normal development of the female reproductive system resulting in a patient with underdeveloped or absent uterus, vagina, and cervix. An underdeveloped or short vagina can make vaginal penetration and intercourse challenging, however there are plenty of successful MRKH relationships and MRKH marriages which do not require vaginal intercourse. Vaginal intercourse is at the patient’s [...]
FAILED TVT SLING SURGERY
WHAT ARE THE SIGNS AND SYMPTOMS OF A FAILED TVT MESH SLING? The TVT mesh sling is made to treat stress urine incontinence i.e., SUI. If one places a TVT sling and it doesn’t correct the SUI, then that would be considered a failure. The patient would feel leakage with coughing and sneezing and the healthcare professional could see the leakage during an exam. A failed TVT slings [...]
Mesh Removal Nightmare
WHAT ARE THE NIGHTMARES ASSOCIATED WITH MESH REMOVAL? Transvaginal mesh complications can be mild or serious resulting in a proverbial nightmare for the patient. Unfortunately, the complications can occur and create severe suffering for the patient and her family. Potential complications include: Chronic Pain- is one of the most common complications of transvaginal mesh surgery. This can be caused by nerve damage, mesh erosion into neighboring organs such as: bladder, [...]