As with most surgical procedures, potential adverse reactions may occur. Some potential adverse reactions to surgical procedures to correct pelvic prolapse include:
- Pain/Discomfort/Irritation
- Inflammation (redness, heat, pain, or swelling resulting from surgery)
- Infection
- Mesh erosion (presence of suture or mesh material within the organs surrounding the vagina)
- Mesh extrusion * (presence of suture or mesh material within the vagina)
- Fistual formation (a hole/passage that develops between organs or anatomic structures that is repaired by surgery)
- Foreign body (allergic) reaction to mesh implant
- Adhesion formation (scar tissue)
- Urinary incontinence (involuntary leaking of urine)
- Urinary retention/obstuction (involuntary storage of urine/blockage of urine flow)
- Voiding dysfunction (difficulty with urination or bowel movements)
- Recurrent prolapse (return to your original prolapse)
- Contracture (mesh shortening due to scar tissue)
- Would dehiscence (opening of the incision after surgery)
- Nerve damage
- Perforation (or tearing) of vessels, nerves, bladder, ureter, colon, and other pelvic floor structures
- Hematoma (pooling of blood beneath the skin)
- Dyspareunia (pain during intercourse)
* Extrusion of the mesh into the vagina is one of the most common adverse events. Most often, you may be able to be treated in your doctor's office. In some cases, treatment may occur in the operating room. If left untreated, this complication may interfere with sexual intercourse.
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