Tuesday, February 14, 2012

Vaginal Slings: When Surgery for Incontinence Goes Wrong

Being that I am a urologic surgeon, I routinely perform surgery on patients for incontinence. Unfortunately, no surgery is without its risks and complications. Before surgery, I always review risks and potential complications with patients, but when a patient has a bad outcome, they are always su...
Anonymous
Danielle
11/22/07 9:07am
Thank you for this wonderful information. I didn't get this from my doctor but I didn't ask either. As far as I'm concerned, surgery is the only option for me since this provides the best outcome. It's worth the risks. I was wondering if people still need to wear pads after this surgery? If not, do you still have the occasional accident? I've always have UTi's - since I was 2. The UTI's have gotten better since the incontinence (unexpected bonus) and was wondering if they will likely return after the surgery? I've read that a lot of women get UTI's after surgery that normally wouldn't have. Is this a short term complication?
Anonymous
gina diggs
2/26/08 1:54pm

The surgery went well but I am left with half of my right leg numb from the hip to the ancle.  My Dr said that he has never seen anything like this but hopes the feeling will return in time.  Its been 2 weeks and still no change.  Now what?

 

Anonymous
California
2/ 2/09 2:35pm

I have very similiar pain to what you have, and the mri showed no compression of any nerves.  They think it could be 3 things.... The placement of a stitch, the mesh itself is poking into my groin/nerves, or the mesh itself is having a reaction with my tissue and the chemicals in the mess are irritating the tissue around that point.  To me, it seems that it must be part of the mess or a stitch is in the wrong place, and must be removed.  Why do I think this?  Because if it where a tissue reaction, wouldn't I feel the pain all over, from right to left?  Since I only feel the pain in right groin, and shooting down my right leg, it seems to me that this is a problem with the mesh only in that one specific location.  I am probably going to ask to have it removed completely today.  I can not live with this kind of pain and being on 2 different meds. for the pain.  I am young, and this is not a good outcome for me.  I have read far too many bad results from this surgery, with women having this kind of pain a year or more later.  I think I am going to opt for having it removed completely.  I do not know the brand or type of mesh, but I am going to ask about this so I can share my bad results with the manufacturer, etc...

Anonymous
Anonymous
2/ 2/09 9:24pm

Feb 15 with be 1 year after my surgery,  The sling did nothing I still have the same problem and the numb leg was becasue during my surgery they had a problem and my vitals crashed and my legs dropped to the side and damaged my femeral nerve.  They said that it woud take up to a year to heal but still nothing.  I have to take pain pills and have no feeling on the inside of my leg.  I really dont know what to do now.  If anyone reads this and thinks I have a case let me know.

Anonymous
kw
5/16/09 12:16pm

I had surgery 12 days ago.  Went home with a catheter because of a nicked bladder, and excrutiating pain down by groin into my left inner leg, out to my left knee and down to my shin.  Urologist did not know what could be causing this.  I figured either my leg was injured in surgery somehow (even being in the wrong position could have caused a problem) or it was the placement of the mesh tape.  My orthopedic physician saw abnormalies with my spine, so I had an MRI on Tuesday.  Will get the results on Monday when I see the spine specialist.  Ruling out herniated disc.  I am living on 800mg Ibuprofen every 6 hours, and Darvocet as needed.  Can't be on my feet for any length of time without severe pain.  Sitting and laying down I'm okay.  But I surely don't want to live my life like this.  I may opt to have the tape repositioned in hopes of alleviating it.  Will wait a few more weeks to see how things progress. 

 

Surgery appeared to be successful, but yesterday I did some minor stretching and "felt" a twinge in my pelvic area, and now I have urinary urgency.  Hope it's just temporary too.  What a mess.

Anonymous
Pat
10/26/09 10:52am

I had this surgery in 2005 for a prolapsed bladder. I woke up in immediate pain. They damaged my siatic nerve and the surgery also failed so on top of having the pain my bladder is the same as it was before. I can only walk so far for so long without my foot going numb and it feels like a dead foot. I have constant pain no matter what. I have had a series of spinal injections which help for a couple of months. They are not worth the cost I have to pay as a co pay even. The muscle relaxers don't do much and what you are supposed to live on pain medication forever. besides the fact that I have to work all day so you can't take an amount that will hide the pain.

 

I hope your end results are better than mine.

 

6/ 1/10 12:30am

Thanks for this posting. It is very helpful.

 

I had a mid-vaginal trans-urethral sling surgery on 5-26-10. I had 190 cc of residual urine on my first post-op urination in recovery so I had to go home with a Foley catheter. Hopefully it will come out tomorrow.

 

I am very positive and optimistic about this surgery after years of continually worsening stress incontinence. I am 59 y/o & have had problems since my first pregnancy at age 19. It was always manageable until I stopped HRT two years ago.

 

I carefully chose to go with a uro-gynecologist who'd been trained at Mayo Clinic and had done over 250 of these surgeries. Now I'm just careful about peri-care and drinking cranberry juice daily. Will keep you all posted how things go.

 

Anonymous
ashraf
5/11/11 5:01pm

DEAR PROF

THANKS FOR YOUR KIND HELP
I CARRIED MY FIRST CASE OF TVT SECURE THIS DAY
I APPLIED THE PATIENT`S`RIGHT INTRODUCER WELL BUT DURING APPLYING THE LEFT ONE HAMMOCK SHAPED I OBSERVED FLUID COMING FROM THE INCISION SITE(MID URETHRAL INCISION)
I CONSIDERED IT AS PERFORATION TO THE BLADDER I REMOVED THE INTRODUCER LEFT ON AND FILLED THE BLADDER WITH 500 CC SALINE WITH METHYLINE BLUE  BUT NO ANY LEAK COME FROM  THE INCISION SITE
 I APPLIED THE LEFT ONE AND CLOSED THE VAGINA NO CYSTOSCOPY WAS PERFORMED

NO HAEMATUREA NO METHELINE BLUE CAME AGAIN

I AM NOT SURE IF THE BLADDER INJURY WAS OCCURRED OR NO

I PLANNED TO PUT FOLY`S CATHETER 7 DAYS

PLEASE TELL ME ABOUT THE BEST APPROACH TO THIS COMPLICATION 
HOW I BE SURE THAT IT IS BLADDER PERFORATION?

WHAT IS THE PROGNOSIS OF MAY TREATMENT ?

THANKS


DR ASHRAF ATIA