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

Call now for a Confidential Consultation with Carrie (770) 475-0862

• Home
• Mesh Complications
  • Overview
  • Incontinence Surgery (TVT, TOT, Mini-Slings)
  • TVT Sling Complications
  • TOT Sling Complications
  • Mini-sling Complications
  • Prolapse Surgery (Vaginal Mesh Complications)
  • Vaginal Mesh Kit Complications (Prolift, Apogee/Perigee, Avaulta, Elevate)
  • Sacralcolpopexy Mesh Complications
• Treatments
  • Overview
  • Mesh Extrusion
  • Mesh Erosion into viscera (bowel, bladder)
  • Pain - Vaginal, Pelvic, Leg, Buttock, and/or Abdominal
  • Urinary Symptoms
  • Recurrent UTI's
  • Failure/Recurrent Prolapse
  • Bowel symptoms
  • Shortened Vagina
• Procedures
  • Mesh Kits for Prolapse
    • Prolift (Anterior/Posterior), Prosima, Gynemesh *Gynecare
    • Avaulta Solo (Ant/Post), Avault Plus (Biosynthetic), Pelvitex Mesh *Bard Urology
    • Pinnacle (Anterior/Vault), Uphold (Vault), Polyform Mesh *Boston Scientific
    • Restorelle (Ant/Post), Restorelle (EzA) *Coloplast/Mpathy
    • Apogee (Post), Perigee (Anterior), Elevate Anterior, Elevate Posterior *American Medical Systems (AMS)
    • Posterior IVS *US Surgical
    • Ascend Anterior, Ascend Posterior *Caleda Medical
  • Slings
    • TVT *Gynecare
    • Sparc *AMS
    • Align *Bard Urology
    • Lynx, Advantage *Boston Scientific
    • IVS Tunneller *US Surgical
    • T Sling, Desara *Caldera Medical
    • TVT-O, TVT Abbrevo *Gynecare
    • Monarc *AMS
    • Align-TO, Uretex-TO *Bard Urology
    • Obtryx *Boston Scientific
    • Obtape *Mentor
    • T Sling, Desara-TO *Caldera Medical
    • Secur *Gynecare
    • MiniArc *AMS
    • Solyx *Boston Scientific
• Case Studies
  • TVT-type Sling Complications
    • TVT Sling – Urinary Retention, Lower Abdominal Pain
    • Sparc (TVT-type) Sling – Pain at the urethra
    • TVT Sling - Vaginal Extrusion
    • TVT (Lynx) - Leg, Vaginal Pain-Laparoscopic removal
    • Mesh in Bladder – Pain and Vaginal Bleeding
    • TVT Sling/Perigee Complication – Vaginal Bulge
    • TVT sling - Recurrent prolapse, persistent urinary leakage, mesh extrusion
    • TVT (Align) Sling and Posterior Avaulta Complication
    • TVT Sling Complication: Mesh Extruding Through Vaginal Epithelium
    • Vaginal Pain, Bloody Urine, Difficulty Walking Because of Lower Abdominal Pain
    • TVT Sling (Gynecare) – Pelvic Pain, Vaginal Pain, Painful Intercourse
  • TOT Sling Complications
    • Urinary Retention Following TVT-O Sling and Recurrent Prolapse
    • Leg and Groin Pain following TOT Sling
    • Leg Pain and Urinary Leakage
    • Vaginal Pain, Pain with sex
    • Pain and Urinary Leakage S/P Perigee and TOT Sling
    • Avaulta/TOT Sling Complication – Severe vaginal and buttock pain, pain w/ intercourse
    • TOT sling / Obtryx / Boston Scientific - Vaginal Pain
  • Mini Sling Complications
    • Complication of Mini Sling (Solyx-Boston Scientific, MiniArc Sling – AMS, Secure –Gynecare)
    • Complication of a Mini Sling (Ajust- Bard Urology)
  • Mesh Extrusion and Recurrent Prolapse
  • Posterior Wall Mesh Complications
    • Posterior Vaginal Wall Mesh – GyneMesh - Vaginal pain with intercourse
    • Posterior Vaginal Wall Mesh – Chronic Abscess/infection, Drainage from Buttock Cheek Tract
  • Prolift, Apo/Perigee Complications
    • Pain and Urinary Leakage S/P Perigee and TOT Sling
    • Vesicovaginal Fistula & Continuous Urine Leakage since Anterior Prolift Surgery for Cystocele
    • Chronic Abscess/Infection, Drainage from Buttock Cheek tract
    • Vaginal/Buttock Pain, Mesh exposure, Pain w/ Intercourse
  • Avaulta Complications
    • Pain with intercourse since Posterior Avaulta for Rectocele
    • Persistent Chronic Vaginal Pain since Posterior Avaulta for Rectocele
    • Vaginal and Buttock Pain Following Total Vaginal Mesh
    • Anterior Avaulta-Mesh Extrusion, Vaginal Pain
    • Avaulta/TOT Sling Complication – Severe vaginal and buttock pain, pain w/ intercourse
    • Chronic vaginal pain, vaginal mesh extrusion
  • UpHold Complications
    • UpHold Mesh Complication - Pain and Mesh Extrusion
    • UpHold Complication – mesh exposure, pain with intercourse (husband can feel mesh)
  • Sacral Colpopexy Mesh Complications
    • Sacral Colpopexy Mesh Extrusion (Gortex Mesh Graft)
    • Sacral Colpopexy Mesh Extrusion (Y-Mesh Graft)
    • Abcess post LAVH/Sacralcolpopexy
    • Sacral Colpopexy Mesh Abscess and Mesh Extrusion
    • Sacral Colpopexy Mesh Pain (Gynemesh Graft Removal)
• Scientific Papers
• Testimonials
• Blog
• Discussion Board
• Our Websites

Mini-sling Complications

The single incision mini-sling is the next step in making mid-urethral mesh tape slings even less invasive. External needle passes have been completely eliminated (ie no needles through the groin or abdominal wall) and only a single, small incision is needed vaginally to place the mesh tape. It therefore also is a smaller piece of mesh and does not need to be brought through the abdominal wall or groins, essentially eliminating risks of abdominal or groin pain. Drs. Moore and Miklos were some of the first in the US to study and utilize and bring this technology to the US. It is now utilized widely throughout the world and Drs. Moore and Miklos have published many of the first studies and papers on the procedure. The TVT Secur was one of the first on the market, however did not result in cure rates that were equivalent to the TVT and TOT therefore improvements were made with the MiniArc mini-sling by American Medical Systems (AMS) and other  companies have also followed suit with their own versions (ie Boston Scientific Solyx, Bard Ajust)

Although risks are decreased (specifically groin and abdominal complications) other complications as listed with the TVT approach can still occur such as extrusion, vaginal pain, erosion, and voiding dysfunctionand are handled similarly.

Mini Sling Complication - Vaginal and Lower Abdomen Pain, Frequency, Urgency / Ajust Mini Sling Complication – Severe vaginal and lower abdomen pain, recurrent UTI’s

Below are examples of Mini-slings

• Secur *Gynecare
• MiniArc * (AMS)
• Solyx *Boston Scientific

*Indicates company provider

 

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