Bladder mesh, also known as transvaginal mesh, is used in surgical procedures that address stress urinary incontinence and pelvic organ prolapse. While these procedures can be life-changing when successful, some patients experience adverse side effects that require revision surgery.

When successful, a bladder sling procedure can change a patient’s life. However, in recent years, there have been over 1,000 reports of adverse side effects concerning bladder mesh. Some of these side effects include:

• Pain
• Infections
• Excessive bleeding
• The return of urinary incontinence
• Organ perforation, or when the sling punctures an organ
• Severe pelvic pain and painful sexual intercourse
• Bladder mesh erosion (when synthetic slings erode into nearby organs in the pelvic cavity—such as the vagina or rectum—and can become exposed)

In certain cases, mesh complications involve serious injuries to the bladder that require surgical or medical intervention. This includes a bladder mesh revision surgery.

Removing a faulty bladder sling and replacing it with a new one is a complex corrective surgery. It should only be undertaken by an experienced urologic surgeon specializing in this condition. 

The process of removing a bladder mesh can be time-consuming, painful, and complex. A skilled surgeon has to remove pieces of fine mesh that have fused with nearby organs and tissues to ensure minimal complications moving forward. In removing the mesh, surgeons need to excise the surrounding tissues gently. That typically involves cutting out mesh and surrounding tissue and then stitching the area.

When the mesh removal is complete, the initial problem—whether it be urinary incontinence or a pelvic organ prolapse—must be addressed again.

At Z Urology, our approach to bladder mesh revision is tailored to each patient's unique situation. The procedure may involve:

• Careful removal of problematic mesh
• Reconstruction of damaged tissues
• Treatment of any infections or complications
• Possible replacement with alternative materials or techniques

At Z Urology, our surgeons use advanced, minimally invasive techniques when possible to reduce recovery time and minimize discomfort. Reach out to our office to learn more about this important procedure.

Bladder mesh revision may be recommended if you experience:

• Persistent pain or discomfort
• Recurrent urinary tract infections
• Mesh erosion or exposure
• Return of urinary incontinence symptoms
• Complications affecting your quality of life
• A urologist’s recommendation 

While bladder mesh can be effective for many patients, it's important to understand the potential risks. In recent years, there have been increased reports of adverse side effects, leading to legal actions and inquiries about mesh safety.

At Z Urology, we prioritize patient safety and only recommend mesh procedures when appropriate. We thoroughly discuss all treatment options (including non-mesh alternatives) to ensure you make the most informed decision about your care.