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Re: UROGYNECOLOGY: Mesh Erosion after rectocele

From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Mon, 20 Aug 2007 13:21:08 -0500 (CDT)


Message posted on Amy Rosenman, M.D. behalf by: Hope, Women’s Health Forum Moderator

It is time to go the OR and have as much exposed mesh removed as possible. A systemic antibiotic would help as the mesh probably has some infection. Followed by many months of vaginal estrogen cream nightly or every other night. This can heal, erosion is the number one long term complication of mesh but it can heal if the exposed portion is completely removed. Patience is a virtue in a situation like this.

--
Amy Rosenman, M.D.
Assistant Clinical Professor GYN
UCLA - Santa Monica, California

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Mon, 20 Aug 2007, Lynn wrote: > >I had a rectocele repair in May - I had every possible thing go wrong >during receovery - at 3 week post op I felt like there was a Pin inside >me and I kept spotting - saw doc every week telling her this and she >said all looks good. Intercourse was very painful and husband said he >felt something inside - at my 12 week post op the urogyno stated she saw >mesh sticking out and that was the cause (grr i knew something was >wrong) she said we have 2 options to handle in the office or OR - I >wanted OR but she insisted in office - she clipped some (Painful) could >not get the rest and then gave me premarin cream to use nightly for 2 >weeks and see her in 3 weeks and hopefully the remaining piece sticking >out will have vaginal skin grow over it. Saturday I started to have >horrible and very painful stabbing pain in that area (comes and goes) >and sometimes radiates down my leg. I called the office this morning >and she is away all week and the girls looked at my chart, told me to >take motrin (which i have been doing and its not helping) and wait until >she returns. Any insight would be so greatly appreciated as I am very >frustrated.




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