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International Urogynecology Associates
Surgically Treated over 400 Mesh Complications in 2012
Best Doctors in America - 10 Years

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TOT Sling Complications: TOT Mesh Exposure / Extrusion

All slings whether synthetic ( ie polypropylene mesh) or other can extrude through the vaginal skin. If this happens patients are not always subject to symptoms. Patients can suffer from the following:

If the patient is not sexually active and the mesh isnt bothering her then she does not NEED to have the mesh removed. The mesh should only be removed if the patient and the doctor believe the benefits will outweigh the risks of her surgery. See video below:

Click images below to enlarge.

Normal TOT Sling

Normal TOT Sling

Extrusion of mesh through vaginal skin

Extrusion of mesh through vaginal skin


Sling Extrusion Visible Mesh (TVT, TOT, or Single Incision Mini Sling)