Dr. John Miklos and Dr. Robert Moore – Vaginal Mesh Complication Surgeons

Internationally Renowned Vaginal and Laparoscopic Surgeons

Located in Atlanta, GA – Patients from 47 States and 45 Countries

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Mesh Complication Case Study #1

Complication of TVT slings
(Gynecare TVT, Caldera- T sling, Boston Scientific – Lynx, Bard-Align)

Surgery: TVT Sling (Lynx, Boston Scientific)

Symptoms: Urinary retention (can’t empty her bladder), lower abdominal pain

Treatment: Laparoscopic and vaginal removal of entire mesh sling 

This patient is a 40+ year old female from Salt Lake City, Utah who had her TVT (Lynx Sling, Boston Scientific) performed in 2007. Since that time she has suffered from urine retention, lower abdominal pain.  She has been performing intermittent self catheterization ever since. She has seen multiple doctors including: gynecologist, internists, urologists and none of the doctors came up with a viable solution.  Finally she found a urologist in Salt Lake City who was willing to remove a portion of the sling to enhance urination.  This portion of the sling is the area directly underneath the urethra. This procedure can be done through an incision in the vagina. Through her own research and after many discussions with other women with a similar condition (who she found on various blogs and chat lines), she realized that the removal of this portion of the sling would probably not relieve her abdominal pain.  She was told by patients and surgeons alike, that such a procedure could NOT be done via a miniature incision known as laparoscopy.

After additional research, she discovered that this type of laparoscopy procedure could be done and she chose Dr. Miklos and Dr. Moore because they have written about this technique and have been referenced throughout the world for their work.   (Click here to view articles)

She patient came to Atlanta, Georgia and underwent the surgery.  Her initial results are astounding.  She was able to completely empty her bladder within 48 hours of surgery, the first time in 3 years.   The pictures below show some of the surgical procedure.

Picture 1 Laparoscopic incisions

Picture 2  Once inside the abdomen of the patient and incision was made in the peritoneum  (lining of the abdominal cavity).  The incision is made above the bladder and exposes the pubic bone.  The urethra is directly in the midline and on either side of the urethra is the TVT mesh sling.

Picture 3 The left arm of the sling is dissected away from the pubic bone and is seen here being held by a “grasper."

Picture 4 Shows both the left and right arm completely devoid of scar tissue which has been dissected away by Dr. Miklos & Moore.

Picture 5 Shows the right and left arms of the sling being pulled horizontally so the sling can be seen better.

At this time Dr. Miklos & Moore directed there attention back to the vagina and cut the sling in the midline and removed both arms of the sling

Picture 6 Shows that the sling has been completely removed.   The surgeon’s finger tips can be seen on both side of the urethra ie the area that the sling once occupied.  The surgeon is actually inserting his finger via the vagina into the recently created defect of the ceiling of the vagina that once allowed passage of the sling.

Picture 7 Shows the two arms of the sling lying beside a ruler.  The ruler is 15 cm in length.  One arm of the sling measures approximately 8 cm and the other 7 cm.

Picture 8 Shows the two removed arms of sling laid end to end.  The total length of the sling is approximately 15 cm.

Though this surgery almost immediately restored the patients urination pattern back to normal, the patient and surgeon are now waiting to see if it reduced the patients lower abdominal pain.  It has been Dr. Miklos & Moores’ past experience that it will dramatically do so. Post-op month 3 update:  Patient reports a 90% reduction in groin, pubic and abdominal pain.

Testimonial

"I am grateful to have found Dr. Miklos, experienced in laparoscopic removal of TVT.  I am also grateful I could come up with the funds to fly across the country and pay the out of network costs associated with it’s removal.  I believe I am one of the luckier TVT complication survivors."

Please click here for more information on TVT Sling Complications.

Patient testimonial

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