Women's Vaginal Mesh Choices

Key Considerations in Women’s Vaginal Mesh Choices

Vaginal mesh, a medical device designed to address pelvic organ prolapse (POP) and stress urinary incontinence (SUI), has been hailed as a solution. However, it has also faced scrutiny due to its complications. Despite the controversies surrounding its use, many women have chosen vaginal mesh as a treatment option.

In this article, we’ll explore the reasons why some women opt for vaginal mesh and the factors that contribute to their decision.

Understanding Pelvic Organ Prolapse and Stress Urinary Incontinence

Before delving into the reasons women consider vaginal mesh, it’s essential to understand the medical conditions that this device is meant to treat.

Pelvic Organ Prolapse (POP)

Pelvic organ prolapse (POP) is a condition characterized by the weakening of the pelvic floor. This network of muscles, ligaments, and tissues is responsible for supporting pelvic organs such as the bladder, uterus, rectum, and vagina. When these muscles become lax or damaged, the organs they support may shift out of their normal positions.

In mild cases of POP, these organs may descend slightly. In more severe instances, they can protrude from the vaginal opening, causing a noticeable bulge.

POP can affect individuals of all genders, but the risk is higher among women and individuals assigned female at birth (AFAB). Men and those assigned male at birth (AMAB) can also experience issues such as a dropped bladder or rectum.

According to the National Library of Medicine, approximately 40% of women worldwide will experience pelvic organ prolapse. This statistic is expected to increase as the global population ages.

Stress Urinary Incontinence (SUI)

Urinary incontinence refers to the involuntary loss of urine. Stress incontinence occurs when physical activities, like coughing, laughing, sneezing, running, or lifting heavy objects, put pressure on the bladder, resulting in urine leakage. It’s important to note that stress incontinence is not related to emotional or psychological stress.

According to information from the Urology Care Foundation, approximately one in three women will experience this issue at some point in their lives.

Living with stress incontinence can be emotionally challenging, leading to feelings of embarrassment, social isolation, and limitations on work and social activities. Individuals with this condition may even avoid physical and recreational pursuits. However, with appropriate treatment, managing stress incontinence is possible, improving one’s overall quality of life.

Reasons Why Women Choose Vaginal Mesh

Vaginal mesh is often considered by women seeking relief from pelvic organ prolapse (POP) and stress urinary incontinence (SUI) challenges. The popularity of these mesh products is evident worldwide, with over 2 million women having undergone implantation. The widespread recognition of these solutions highlights their significance in addressing the discomfort and issues associated with POP and SUI.

The benefits of vaginal mesh include:

  • Effective Symptom Relief: Vaginal mesh has been reported to offer effective relief from the uncomfortable and often painful symptoms of POP and SUI. For some women, this relief is a compelling reason to consider the procedure.
  • Minimally Invasive Option: Vaginal mesh procedures are generally less invasive compared to traditional open surgeries. This means shorter recovery times and potentially fewer complications.
  • Non-Absorbable Material: Vaginal mesh is typically made from non-absorbable synthetic materials, which can provide longer-lasting structural support compared to absorbable materials.
  • Treatment for Severe Cases: In cases of severe or recurrent POP where other treatment options have failed, vaginal mesh may be considered. It is often viewed as a last resort to address these challenging conditions.
  • Shorter Recovery Time: Women may choose vaginal mesh because it typically offers a shorter recovery period than more invasive surgical procedures. This allows them to resume their daily activities sooner.

Considerations and Controversies

The surge in controversies surrounding vaginal mesh emerged as numerous women took legal action by filing vaginal mesh lawsuits. These legal proceedings resulted in millions of dollars in jury awards and settlements, with over 108,000 lawsuits filed by U.S. patients. Nationwide, seven multidistrict litigations (MDLs) consolidated cases.

While some women find relief with vaginal mesh, it’s crucial to carefully consider potential risks. Reported issues include mesh erosion, organ perforation, infection, and pain. Many women also experienced adverse reactions to the mesh material, such as inflammation or allergies, leading them to seek compensation through lawsuits.

As of October 2023, around 95% of transvaginal mesh lawsuits have reached settlements or resolutions. However, TruLaw notes that ongoing legal efforts persist as lawyers continue to pursue settlements or take cases to trial.

Therefore, the decision to use vaginal mesh should be made with a full understanding of the potential benefits and risks. It is crucial to engage in open and honest discussions with healthcare providers, explore alternative treatments, and carefully weigh the pros and cons. It’s also vital to be aware of any FDA warnings and the legal aspects surrounding vaginal mesh.


Women who consider vaginal mesh typically do so with the goal of finding relief from the symptoms of POP and SUI. While the procedure can provide effective solutions, the decision to use vaginal mesh should be approached with caution, research, and consultations with healthcare professionals.

Ultimately, informed decision-making is key to ensuring the best possible outcome for each individual’s specific circumstances.

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