Not too long ago, a doctor told me that mini-slings used for SUI, or “tape” (as many now call the mesh slings), are not causing any of the mesh complications we are hearing about. I disagreed. While I did not have a mini-sling (I had a TOT), I tried to explain that I knew of women with the mini-slings also suffering horrendous complications. After all, it is made of the same polypropylene material that can (and does) harden and erode/cut through tissues, urethra’s, and more. I had talked to many in support groups for people suffering from mesh complications, and they were going through the same kinds of erosion and painful complications as many others in those groups. I also said that it was easy enough to go to the FDA MAUDE database and run a search to see that mini slings/tape, are also having many reported complications.
But no, this doctor was convinced I was wrong and he was right. He was actually not very nice about it at all. He completely believed, like many doctors apparently do, that mesh complications were only from mesh kits used for POP, and NOT the small tapes or slings for SUI. He was wrong.
Maybe he will read articles by his own peers, and think again. Articles like this one, “Mini-slings can cause complications“, published in the International Urogynecology Journal, 2014 October 23, which had the following conclusion:
“CONCLUSIONS: This series outlines several complications with SIMS, similar to what has been reported with other suburethral synthetic tapes. Therefore, caution is required and patient counseling is important.”
Here is the article info and abstract:
=========== from: https://www.readbyqxmd.com/read/25338728/mini-slings-can-cause-complications:===========
Mini-slings can cause complications
by Burhan Coskun, Rebecca S Lavelle, Feras Alhalabi, Gary E Lemack, Philippe E Zimmern
International Urogynecology Journal 2014 October 23
INTRODUCTION AND HYPOTHESIS: Single-incision mini-slings (SIMS) have been advocated to avoid the complications of transobturator and retropubic midurethral slings. We present a series of SIMS complications and their outcome after vaginal removal at a tertiary care center.
METHODS: Following Institutional Review Board approval, a prospective database of consecutive women who underwent SIMS removal for complications and had a minimum follow-up of 6 months was reviewed. Patient-reported outcomes were assessed by main symptom category. In addition, an ideal outcome or cure was defined as continent, pain-free, sexually active if active preoperatively, and not requiring additional medical or surgical therapy.
RESULTS: Of 23 women, 17 met inclusion criteria. Presenting symptoms were varied but dominated by incontinence (14), pelvic pain (11), dyspareunia (10), and obstructive urinary symptoms/urinary retention (5), with 76 % presenting with more than one complaint. Type of SIMS included MiniArc™ (11), Solyx™ (4), and TVT-Secur™ (2). At a mean follow-up of 17 ± 9 (range 7-44) months after SIMS removal, six (35 %) women were cured of their presenting complaint. Among the 11 women with pelvic pain, 6 had resolution of pain, 2 improvement, and 3 persistent pain. Six of seven women who were sexually active beforehand resumed sexual activity. Dyspareunia persisted in three women. Of 14 with incontinence, 8 had cure or improvement, and obstructive symptoms resolved in 4 of 5.
CONCLUSIONS: This series outlines several complications with SIMS, similar to what has been reported with other suburethral synthetic tapes. Therefore, caution is required and patient counseling is important.
This also ties back into the faulty belief that mesh for SUI is ok, and it’s only the mesh for POP that is risky. The truth is, they are all made from the same polypropylene plastic material, and there are almost as many reported complications from SUI mesh surgeries, as there are from mesh used for POP. I really hope doctors start to wake up to this fact soon.
For details and links to support this, please see;
– “Why is it Okay to Use Mesh For SUI, but Too Risky for POP?”
– “Top 10 Myths Woman are Told Today about Pelvic Mesh”
RELATED NEWS & UPDATE – on March 5th, 2015 –
“the jury in the product liability trial of Perry v. Ethicon finally decided for the plaintiff, Coleen Perry and awarded her $5.7 million.
Ms. Perry was implanted with an Abbrevo MINI-SLING in 2011, as a treatment for incontinence. She has since suffered chronic pelvic pain, dyspareunia, mesh erosion, shrinkage of the mesh and scar tissue formation, among other complications.”
Details at: http://meshmedicaldevicenewsdesk.com/breaking-news-verdict-in-5-6-million-for-ms-perry-in-her-pelvic-mesh-trial