The Use of TVM in POP and SUI
Women in all sides of the world recognize the medical device trans-vaginal mesh (TVM). This medical device has been used by physicians to treat medical conditions associated with aging, mainly Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI) by strengthening the vaginal wall and holding the pelvic organs in position, restoring the normal vaginal anatomy, and improving sexual function. Most adult women in all races are affected by POP and SUI. Women who have had cessation of menstruation, hysterectomy, and parity have the greatest risks of having these conditions.
When does Pelvic Organ Prolapse occur
In Pelvic Organ Prolapse, the connective tissues stabilizing the walls of the vagina become less elastic and starts to soften. Possible reasons for this change in elasticity of the vaginal wall are old age and conditions that cause the vagina to expand such as hysterectomy and childbirth.
There are diverse kinds of prolapse, but the principal types are bladder and uterine prolapse, urethrocele, and rectocele. The most widespread of these types is bladder prolapse. This is when the bladder extends into the vaginal wall. Another type that can be related to this is urethrocele, i.e. when the urethra protrudes into the vaginal wall. Moreover, rectocele is the exposure of some parts of the rectum into the back wall of the vagina, and uterine prolapse is the sinking of the uterus into the vagina.
When does Stress Urinary Incontinence Happen?
Stress Urinary Incontinence is not a symptom of POP. It is the uncontrollable passage of urine from the bladder on coughing and sneezing, or other abrupt activities. Most likely, it results when the urethra is hyperactive due to weakened pelvic muscles.
When was TVM introduced?
Surgical mesh was introduced in 1950, and it was initially indicated as treatment for hernia. Two decades later, medical practitioners found out that it can be used in the management of POP abdominally. And in 1990, it was successfully used by physicians trans-vaginally. And in 1990, the implantation of the mesh through the vagina was practiced. An estimated 250,000 TVM implantations have been recorded since its first release.
Because traditional procedures failed in most cases in the treatment of POP and SUI, and vaginal mesh implantations have been successful in initially relieving the symptoms of these conditions, TVM procedure was approved even without adequate tests. On the other hand, TVM lawsuits are filed at an increasing rate in the United States as serious injuries have affected many recipients of the vaginal mesh recently.
References:
When does Pelvic Organ Prolapse occur
In Pelvic Organ Prolapse, the connective tissues stabilizing the walls of the vagina become less elastic and starts to soften. Possible reasons for this change in elasticity of the vaginal wall are old age and conditions that cause the vagina to expand such as hysterectomy and childbirth.
There are diverse kinds of prolapse, but the principal types are bladder and uterine prolapse, urethrocele, and rectocele. The most widespread of these types is bladder prolapse. This is when the bladder extends into the vaginal wall. Another type that can be related to this is urethrocele, i.e. when the urethra protrudes into the vaginal wall. Moreover, rectocele is the exposure of some parts of the rectum into the back wall of the vagina, and uterine prolapse is the sinking of the uterus into the vagina.
When does Stress Urinary Incontinence Happen?
Stress Urinary Incontinence is not a symptom of POP. It is the uncontrollable passage of urine from the bladder on coughing and sneezing, or other abrupt activities. Most likely, it results when the urethra is hyperactive due to weakened pelvic muscles.
When was TVM introduced?
Surgical mesh was introduced in 1950, and it was initially indicated as treatment for hernia. Two decades later, medical practitioners found out that it can be used in the management of POP abdominally. And in 1990, it was successfully used by physicians trans-vaginally. And in 1990, the implantation of the mesh through the vagina was practiced. An estimated 250,000 TVM implantations have been recorded since its first release.
Because traditional procedures failed in most cases in the treatment of POP and SUI, and vaginal mesh implantations have been successful in initially relieving the symptoms of these conditions, TVM procedure was approved even without adequate tests. On the other hand, TVM lawsuits are filed at an increasing rate in the United States as serious injuries have affected many recipients of the vaginal mesh recently.
References:
- emedicinehealth.com/vaginal_prolapse/page2_em.htm
- healthywomen.org/condition/pelvic-organ-prolapse
- utilis.net/Morning%20Topics/Gynecology/Pelvic%20organ%20prolapse.pdfhttp://www.usdrugrecall.com/category/medical-devices/transvaginal-mesh