By Carmella Watts


The question of what is a transvaginal mesh implant cannot be answered by simply explaining what one is. Its use has to be put into context, which means including a number of things about its historic use. What it does is provide some relief of pelvic organ prolapse and stress urinary incontinence. However, its original use in the 1950's was to repair hernias, but since then it has moved on to have a wide range of uses for gynecological issues.

The item, used to support organs around the pelvis, usually comes in a mesh shape. It's made of woven fabric that's strong enough to hold some of the major organs of a woman in place, organs such as the bowel, the urethra, the bladder and the top of a woman's vagina.

As females age, they do get more susceptible to gynecological problems. This is especially the case after the menopause, when the area around their vaginal muscles weakens. It can weaken for the following reasons: multiple childbirths, old age, and hysterectomies. Whatever the cause, certain vital organs can slip through and protrude the vagina when the muscles weaken.

The mesh from the implants are made from more than one type of substance, but they usually consists of a few of the following: human tissues, animal tissues, polyester, synthetics, and polypropylene. As a general rule, the one that's used the most is made from polypropylene, a substance that has a multitude of uses in such diverse things as stationery to textiles.

One of the confusing things about them is that they come in a variety of different categories. They have to be separated by the types of medical procedure that is involved in inserting each one into a woman's body, as well as separated by the types of materials they are made from. Overseeing the safety of the items, and the categories they come in, is the Food and Drug Administration.

To use the mini-sling implant the doctor makes just one vaginal incision, and then place a metal inserter inside the patient so they can align the mesh near the center of the urethra. By only making one incision the surgery cuts down recovery time as well as the likelihood that the patient's other organs will be accidentally sliced during the operation.

The tension-free sling requires the surgeon to make cuts to the vagina and two on the abdomen. These days surgeons are increasing their use of transobturator tape, a sling used to support the bladder, as it lets them place the contraption with more accuracy.

So for anyone wondering what is a transvaginal mesh implant, the answer is a device to support the organs. The usage of these has not been without some controversy because some report problems and side effects, which can happen with any surgical technique. Some of the side effects are reportedly pain, bleeding and infection, which are byproducts of what's called mesh erosion.




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