Pelvic organ prolapse, transvaginal mesh, complications, vaginal mesh, infections,
Bladder Prolapse: This is the prolapse of the bladder wall through the vagina. This may or may not be
associated with the prolapse of other pelvic organs. It has been graded according to the degree of bladder wall protruded through the vagina, and thus the treatment options vary based on these gradations.
Bladder Prolapse Treatment options: Unlike other sorts of pelvic organ prolapse which can be treated conservatively to some extent, The Top Doctors advise that a prolapsed bladder is to be corrected with surgery only. This surgery is termed as the anterior repair, in which the bladder is turned back to its original place either by the use of slings or by the placement of a transvaginal mesh.
Surgical complications: Like every other surgery carries its own risks during and after the procedure,
repair of a prolapsed bladder doesn’t go without risks as well. Following complications are note worthy in this instance.
Injury to the bladder wall is a common thing to happen on the operating table. The surgeon can accidently puncture the bladder wall at various sites if he does not have sufficient experience. According to the Best Doctors, this mistake might go unnoticed, until after the surgery the patient develops full blown manifestations of urinary extravasation into the abdomen causing peritonitis.
Excessive bleeding after prolase surgery is something that can also be encountered during the procedure
even with the most experienced hands. The Top Doctors report that damage to a major bleeder in the operating field can lead to devastating hemorrhage and significant drop of blood pressure. The bleeding is to be controlled by the detection of the right bleeder and its adequate suturing, whereas the blood pressure is to be supported by fluids and transfusions.
Bladder Prolapse procedure failure is a rather disappointing side effect, both for the surgeon and the patient. This usually happens when only a sling method is used instead of a transvaginal mesh. The sling may not be able to provide the desired support and thus will give way in a matter of days. When this happens, the surgeon needs to consider the alternative method of repair in order to relieve the patient of his/her distressing symptoms.
Mesh infection is by far the most feared complication because of its frequently occurring nature. According to the Top Doctors, If proper antiseptic techniques have been ignored during the mesh implantation, then the vaginal mesh is liable to get infected. The patient will develop post operative fever, pain, discomfort and discharge. The infected mesh might require removal by a consequent surgery.
Development of stress urinary incontinence after Bladder Prolapse surgery has higher rates of occurrence in the women who have had a transvaginal mesh implantation. This is owing to the fact
that mesh placement doesn’t tighten the perineal muscles as such, but provides support by the fibrotic barrier only. These women will have to go for another surgery if their symptoms do not improve on conservative treatment.
Painful intercourse or dyspareunia is another well conversed complication of the pelvic organ prolapse
surgery. This happens in response to the vagina getting excessively tight by the repair. It may or may not require surgical correction.