Drs. Miklos and Moore completely removed a Boston Scientific TVT retropubic sling in a 44-year-old woman from Alabama on Tuesday. This patient was originally seen by Dr. Miklos in 2012, when at that time Dr. Miklos removed a Boston Scientific TOT i.e. transobturator sling. In 2012 the patient had the TOT sling removed as she was suffering from vaginal pain. Two years later (2014) she saw another surgeon in Alabama with complaints of stress urinary incontinence and a cystocele. Unbeknownst to her, she had another mesh sling known as the Boston Scientific TVT retropubic sling at the time of her anterior repair to correct her cystocele. This patient was subsequently sent to Drs. Miklos & Moore with complaints of pelvic, vaginal and bilateral leg pain.
The patient arrived for her office consultation accompanied by her husband and complained of worsening pain over the last 10 months. After reading the operative report Dr. Miklos explained to her that there might be a chance that the TVT mesh sling was responsible for her pain. The patient looked perplexed and asked, “What do you mean my mesh sling is causing pain, you removed it 6 years ago?” I proceeded to read her the operative report and she was shocked to hear that she had another sling placed without her knowledge. The patient further explained that her pain was in the pubic area, vagina and in the medial aspect of the upper legs. She also stated she could not have sex as the pain is too severe.
The examination confirmed that the TVT sling mesh was the origin of her pain as palpation of the mesh on each side of the urethra exacerbated her pain. The patient literally elevated her body from the table due to the severity of the pain with sling palpation. She was taken to the operating room and the complete TVT sling was removed from both the vagina and from the abdominal/pelvic cavity. Below is the complete length of the TVT sling measuring just over 17 centimeters.
Though Drs. Miklos and Moore anticipate good results and a reduction of pain from the mesh removal, they are fully aware that only the patient can tell them if the surgery was a success. Drs. Miklos & Moore wish and hope that this patient and all of their patients the very best possible outcome and success.
Dr John R Miklos
Director Urogynecology
Atlanta Urogynecology Assoc.
770-475-4499 (office)
www.MiklosandMoore.com