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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Vaginal Mesh Surgery Be Done Twice?

I had vaginal mesh surgery 4 weeks ago, on my post op visit my surgeon said my incision is wide open and she can see the mesh, I will need another surgery. What are my options and risks? will this second surgery really fix it or can it cause permanent problems?
Tue, 2 May 2017
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OBGYN,  's  Response
Hello,
Thanks for trusting us with your health concern. In the current scenario, since it appears that you are experiencing vaginal erosion with exposure of the mesh, further treatment is definitely needed. The mesh has to be removed through a vaginal procedure and any resulting prolapse is repaired. Re-suturing is done, sometimes with removal of the mesh, sometimes with topical estrogen cream if the erosion is very small, when the surgery is done as part of a sling operation. Please discuss with your surgeon on the procedure and the prognosis and precautions to be taken. Obesity, smoking and lack of estrogen precipitate or augment the difficulty. Hope you find this information helpful. Take care.
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Can Vaginal Mesh Surgery Be Done Twice?

Hello, Thanks for trusting us with your health concern. In the current scenario, since it appears that you are experiencing vaginal erosion with exposure of the mesh, further treatment is definitely needed. The mesh has to be removed through a vaginal procedure and any resulting prolapse is repaired. Re-suturing is done, sometimes with removal of the mesh, sometimes with topical estrogen cream if the erosion is very small, when the surgery is done as part of a sling operation. Please discuss with your surgeon on the procedure and the prognosis and precautions to be taken. Obesity, smoking and lack of estrogen precipitate or augment the difficulty. Hope you find this information helpful. Take care.