Pelvic organ prolapse (POP) is a condition that affects nearly one-third of middle-aged women. It occurs when the muscles that support the pelvic organs weaken, leading to a bulge or protrusion in the vaginal area. Many patients often describe this condition as a “vaginal hernia.” Symptoms of POP can include pelvic pressure, urinary incontinence, and sometimes discomfort during sexual activity. The weakening of the pelvic muscles and tissues causes the organs to shift from their normal positions, and the severity of symptoms can vary from person to person.
Why Is Mesh Used in POP Surgery?
In some cases, a woman’s natural tissue may not be strong enough to support a successful repair of the pelvic organs. This is where synthetic mesh or biologic grafts come into play. The use of these materials is intended to provide additional support and durability for the pelvic organs after surgery. However, since the 2008 FDA Public Health Notification about the use of transvaginal mesh in POP repairs, the subject has been a source of significant controversy and concern.
Many women have seen advertisements or heard from others that mesh can be dangerous, leading to hesitations about its use. Patients frequently ask, “Are you going to use mesh in my surgery? I’ve heard it’s risky.” It’s important to understand that while there are potential risks, the use of mesh, when done by a trained and experienced surgeon, is generally safe and has a low complication rate.
The Importance of Specialized Surgeons in POP Treatment
Pelvic organ prolapse requires specialized care from doctors who have received advanced training in female pelvic medicine and reconstructive surgery (FPMRS). Board-certified surgeons have undergone rigorous training in diagnosing and treating POP, including the use of mesh in surgical procedures. For patients to achieve the best possible outcomes, it is crucial that they receive treatment from surgeons who are skilled in these procedures and understand the specific risks and benefits.
When mesh is properly placed by a board-certified pelvic reconstructive surgeon, the risk of complications is significantly minimized. Part of the job as FPMRS specialists is to clearly communicate the potential risks and benefits of each procedure to patients, ensuring they are well-informed and confident in their treatment decisions.
Individualized Treatment Plans for Optimal Care
A key aspect of treating pelvic organ prolapse is creating a personalized treatment plan that is tailored to each patient’s unique needs. This starts with a thorough consultation that includes:
- Discussion of Symptoms: It’s important to understand the specific symptoms that are most bothersome to the patient.
- Complete Physical Exam: A physical exam helps the surgeon determine the exact nature and severity of the prolapse.
- Comprehensive Treatment Plan: This plan may include both non-surgical and surgical options, depending on the patient’s condition and preferences.
For some women, non-surgical options such as pelvic floor exercises or lifestyle changes may be sufficient. However, for those requiring surgery, we explore the most suitable approach, including whether mesh might be used. It’s also essential to discuss lifestyle changes—such as maintaining a healthy diet, quitting smoking, and engaging in regular exercise—that can help prevent a recurrence of the prolapse.
Empowering Patients with Knowledge
The decision to undergo surgery for pelvic organ prolapse can be daunting, especially with the concerns surrounding mesh use. However, when patients are provided with accurate, evidence-based information, they are better equipped to make informed decisions about their health. Surgeons aim to empower patients byc explaining all available options and offering reassurance that, when performed by a skilled surgeon, mesh procedures have a high success rate and low risk of complications.
If you’re experiencing symptoms of pelvic organ prolapse and are unsure about the best course of treatment, a consultation with a pelvic floor specialist can help you understand your options. Remember, you have choices, and individualized care is key to achieving the best possible outcome.
To schedule an appointment or surgical consultation, call 770.720.7733. Or, simply schedule an appointment online. We are here to support you in every step of your treatment journey.
