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Side Effects & Risks
Erosion is a very serious complication that occurs when the mesh implant gradually penetrates the vaginal wall and in some cases into the surrounding organs, including the bladder and bowel. Erosion can also cause infection, abscess and intense pain. Rectovaginal fistulas (RVFs) is also possible. This is a medical condition in which there is a fistula or abnormal connection between the rectum and the vagina due to the mesh implant moving out of place. These complications can make it necessary for the patient to have further surgeries to remove the mesh product and repair the damage.
In 2008, the Food and Drug Administration (FDA) issued a Public Health Notification and Additional Patient Information warning of potentially serious complications associated with surgical mesh inserted through the vagina (transvaginal placement) to treat POP and SUI. Many of these complications require the patient to seek additional intervention, including surgical treatment that may or may not correct the complication.
It's important to note that no single brand of mesh used for POP repair have been linked to these complications. Removal of a mesh product, due to mesh complications, may involve multiple surgeries and significantly reduce the patient's quality of life. It may not be possible for the complete removal of a mesh device and all mesh-related complications.