Comments on: A Sustainable Approach to Incontinence and Prolapse http://healthewoman.org/2009/05/01/a-sustainable-approach-to-incontinence-and-prolapse/ Facts Plus Stories Equals Knowledge Tue, 31 May 2011 00:40:53 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Shelley Binkley http://healthewoman.org/2009/05/01/a-sustainable-approach-to-incontinence-and-prolapse/comment-page-1/#comment-25912 Shelley Binkley Tue, 31 May 2011 00:39:58 +0000 http://healthewoman.org/2009/05/01/a-sustainable-approach-to-incontinence-and-prolapse/#comment-25912 Hi Y, It is possible the mesh you doctor is planning to use is the same thing as a sling. Sometimes they are both referred to as "mesh" or "sling". Usually a mesh sling is positioned under the mid-point of the urethra to provide continence when a person is leaking urine. A bladder support mesh goes under the bladder, between the bladder and the vagina, to elevate the bladder when it is falling out or "prolapsed". Often these two procedures are done together. Any surgery is not without complications. The risks of these procedures include bleeding, infection, damage to the bladder, urethra, or upper urinary tract, erosion of the mesh through the vaginal wall, and other problems. The three-year success rate is quoted as 85%, but the ten-year success rate may not be as high. We don't have much data on ten year success rates, and the limited data we have, indicate the ten-year success rates may be only about 60-70%. You should speak to your doctor if you have concerns or questions. Thank you for reading the blog and for sharing your information, which I know will be valuable to many other women. Please let me know if I can answer any additional questions or if you have other comments. Hi Y, It is possible the mesh you doctor is planning to use is the same thing as a sling. Sometimes they are both referred to as “mesh” or “sling”. Usually a mesh sling is positioned under the mid-point of the urethra to provide continence when a person is leaking urine. A bladder support mesh goes under the bladder, between the bladder and the vagina, to elevate the bladder when it is falling out or “prolapsed”. Often these two procedures are done together. Any surgery is not without complications. The risks of these procedures include bleeding, infection, damage to the bladder, urethra, or upper urinary tract, erosion of the mesh through the vaginal wall, and other problems. The three-year success rate is quoted as 85%, but the ten-year success rate may not be as high. We don’t have much data on ten year success rates, and the limited data we have, indicate the ten-year success rates may be only about 60-70%. You should speak to your doctor if you have concerns or questions. Thank you for reading the blog and for sharing your information, which I know will be valuable to many other women. Please let me know if I can answer any additional questions or if you have other comments.

]]> By: Yvonne Mole http://healthewoman.org/2009/05/01/a-sustainable-approach-to-incontinence-and-prolapse/comment-page-1/#comment-25701 Yvonne Mole Fri, 27 May 2011 08:47:45 +0000 http://healthewoman.org/2009/05/01/a-sustainable-approach-to-incontinence-and-prolapse/#comment-25701 Hi, I am 65 yrs. old and have a severe bladder proplapse. I am not emptying properly, which I believe is a big cause of kidney stones. I am due to get my bladder lifted at X hospital on June 17th...Dr. X is using "mesh".... I am really worried after reading articles on this system. Would I be better getting the sling? My sister had a sling inserted many years ago. She is now 75 and has not had any problems. Are the risks very high for the mesh? My doctor said he has had an 85% sucess rate. What do you think? I am concerned..... Thank you, YM Hi, I am 65 yrs. old and have a severe bladder proplapse. I am not emptying properly, which I believe is a big cause of kidney stones. I am due to get my bladder lifted at X hospital on June 17th…Dr. X is using “mesh”…. I am really worried after reading articles on this system. Would I be better getting the sling? My sister had a sling inserted many years ago. She is now 75 and has not had any problems. Are the risks very high for the mesh? My doctor said he has had an 85% sucess rate. What do you think? I am concerned…..

Thank you, YM

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