Vaginal mesh against pelvic floor prolapse: how dangerous it really is

Around 50 percent of women who have given birth suffer from pelvic floor prolapse or uterine prolapse. This is due to the sagging muscles of the pelvic floor. This can also be caused by being overweight. One surgical method promises to help affected women, but the risks are usually concealed. Fortunately, there are good alternatives.

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Surgery can tighten the pelvic floor again. However, it also involves risks.

During the operation to correct pelvic floor prolapse, a special plastic mesh made of very tightly woven material is passed through the vagina to the pelvic floor. The edges of the mesh are pulled up through the skin of the abdominal wall to the pelvic bone using insertion aids and tightened until the pelvic floor is back up again.

The pelvic floor becomes stable again

The surgical technique is based on a specially developed plastic mesh (Prolene) that grows into the pelvic floor tissue. The mesh brings the internal organs back into position and keeps them there. The pelvic floor is stable again and the mesh prevents it from sagging again. The procedure takes two hours.

Injuries can be the result

However, according to the US Food and Drug Administration (FDA), this transvaginal mesh insertion is associated with risks. The most common risk is implant erosion, where the mesh punctures the vaginal mucosa. This results in pain during sex, general pain, infections, bleeding, organ perforation and urinary disorders. The mesh can also contract, resulting in a shortening or narrowing of the vagina.

Other methods can also help

Another procedure for pelvic floor prolapse is the so-called anterior and posterior vaginoplasty: the back or front wall of the vagina is folded and sutured to bring the pelvic floor back into place. Another method: a pessary is inserted into the vagina and supports the pelvic area. This can reduce a slight prolapse of the uterus and alleviate any incontinence.