tvt bladdre sling w/hystorectomy

[slwags]

In 12/08 I had a Hystorectomy and TVT Bladder sling.  One year later some of the mesh was coming through my vaginal wall, went to a UeroGyn in Indianapolis and he said he could fix it "quick" out patient procedure......well ten days after this "quick procedure"  I started hemoriging and had to be rushed by ambulance to a local emergancy room only to hear the doc here say "I have no idea what to do."  She packed me with gauze and sent me by another ambulance back to Indi along with blood, "just in case" and I had emergancy surgery in the emergancy room at Methodist, then TWO blood transfusions, and kept for 3 days.  I now have MORE mesh coming through my vaginal wall and I am terrified to do anything about it.  I can't beleive this is going on, that this type of surgery is even legal, my kids almost lost their mother because of this, I am soooo afraid, any advice would be great.

[question4u63]

I had a partial hystorectomy in 1998 due to cervical cancer, I still have my ovaries.  My question is this:  My boyfriend has been complaining lately that when we are having sex, he said it feels like "razors" are cutting into him.  I'm wondering if it could be the "netting" they put in when they did the surgery?  And if so, can anything be done to correct it?

[J. Kyle Mathews, MD, DVM]

I am sorry to read of your unfortunate events.  TVT, Transvaginal Tape, is a well-established treatment for Stress Urinary Incontinence with an excellent safety and efficacy history.  That said, mesh exposures do occur and are usually straightforward to treat.  Your case appears to be quite unusual.  Should a patient have exposed mesh that does not respond to in office management, surgical removal is indicated.  If you only had a TVT done, no other mesh placed in the vagina, removal of any additional exposed mesh should not be ignored.  Hopefully you will not experience further complications.