Dear Dr., I hope you can help me make a decision. I am scheduled for Robotic Sacralcolpopexy with polypropylene mesh for Apical Vag. Vault Prolapse at Mayo Clinic in May 2012. ( Previous POP repair failed in 1997). The surgeon knows I have an autoimmune disease but doesn't see a problem using the synthetic mesh. I am worried because in 2007 I had a succcessful rectopexy with resection for rectal prolapse,( POP not repaired at that time) in which the colorectal surgeon said she did not use mesh because it was contraindicated for people with connective tissue disease . I have Sjogren's Syndrome with mild CKD (fluctuates between stage 2 and 3). I have searched the internet for answers to this question of contraindication of mesh in connective tissue disease and have found little information. Are there studies/research on this subject that will help me make an informed decision whether to have the surgery with mesh as planned or to seek an alternative material? Thanks.
Thank you for your question. Given your history with a prior failed repairI would agree with the use of synthetic mesh in a sacrocolpopexy providing the degree of prolapse is significant and you are having symptoms. You are correct that is little in the literature regarding this issue and therefore any advice your receive will be based on the surgeons experience. Alternatives to synthetic mesh for sacrocolpopexy have not proven very effective. I have used synthetic mesh in a few patients with similar issues and have not had any issues. I would suggest you express your concerns again to your surgeon and see what he or she's experience has been in theses situations.
Good luck. J. Kyle Mathews, MD Plano Urogynecology
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.