|What is Stress Urinary Incontinence?|
The muscles of the pelvic floor support the bladder and usually help keep it closed or open as necessary. Stress incontinence
usually happens when these muscles become weak. So when there is sudden extra pressure (‘stress’) on your bladder, it cannot
stay closed as it should and some urine leaks out. This leakage happens during normal everyday activities, and most often when
you cough, sneeze, laugh, exercise or change position. Whether you leak a small or large amount of urine, stress incontinence
can be embarrassing and distressing. Stress incontinence can be triggered by pregnancy, childbirth or the menopause. If the
problem develops while you are pregnant or after you have a baby, it usually improves with time for most women but sometimes
it happens again later on. If you have severe stress incontinence and other treatments haven’t been effective, some women may
have to consider surgery to strengthen or tighten the tissues around your urethra.
|I have a mesh tape - should I be worried?|
• unexplained vaginal bleeding
It is advisable to have an annual check-up for peace of mind and to ensure that complications do not develop in the future.
|Treatment options for stress urinary incontinence|
|Further information on alternatives|
|Patient Information and Consent Booklet - Synthetic Vaginal Mesh Tape Procedure - Click to download|
|Questions to ask my doctor (pre-op)|
• What are the pros and cons of using mesh in my particular case?
• Could my operation be done successfully without mesh?
• What is your experience and success rate of using this particular mesh?
• What experience have your other patients had with this product?
• What is your experience of dealing with complications from this product?
• What should I expect to feel after my operation and for how long?
• Are there any specific side effects that I should let you know about after the surgery?
• What happens if the mesh doesn’t help my problem?
• If I suffer a complication, can the mesh be completely removed and what would the consequences be?
• Is there a patient information leaflet that comes with the product? Can I have a copy please?
|Who can help me? (post-op)|
It is a good idea to write down all your questions, concerns and symptoms. It may be useful to list how you believe the mesh
implant is affecting your quality of life e.g. pain, health and wellbeing, physical, marital, family, work, social etc. We are often
nervous or upset when we speak to doctors and it is easy to become distracted, a good health professional will appreciate the
fact that you have come prepared.
Please contact your GP in the first instance. He/she can assess your situation and can treat any underlying urinary tract
infection (UTI) you may have. He/she can advise and prescribe pain relief. If necessary, he/she will refer you to a specialist:
Gynaecologist, Urologist or Colorectal consultant at your local hospital.
|Questions you may want to consider asking your surgeon before mesh removal|
• How many mesh removals have you done and how many have been deemed a success by your patients?
• Is partial or complete removal better in my case?
• Will partial removal need to be repeated in the future?
• Can you remove as much of the mesh implant as is safe to do so in one surgery?
• Will you remove the ends/arms of the device and what are the risks involved?
• What is the risk of nerve damage?
• Is my incontinence/prolapse likely to return and if so, can this be repaired using traditional non-mesh repairs?
• Is it true that ultrasound is the only device that shows mesh clearly?
• Do you use ultrasound to map out the mesh implant before surgery and if not why?
• How can you follow the path of a partially removed mesh implant without ultrasound to guide you?
• Will you use a camera to limit the risk of damage to my bladder or lower bowels?
• How long will my recovery be and what can I expect?
• If mesh remains inside me can I have an annual check-up to ensure that complications do not develop in the future?
• Do you send removed mesh to the lab for testing if there is infection?
• Can you preserve my removed mesh in the lab for legal purposes?
• Will you report my mesh complication/adverse incident to the Medicines and Healthcare Products Regulatory Agency (MHRA)?