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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: Vaginal Pain / Pain During Sex

Bladder sling complications can occur after a TOT sling. One of the most common sling complications is vaginal pain or pain during sex. This is due to excessive mesh tension which can be a direct result of surgery or a delayed result of scarring. The tension creates a band like effect which creates pain. One does NOT need to have urine retention to have vaginal pain or pain during intercourse. This can often be fixed by removing approximately 4-6 cm of mesh. Please see video.


Click images below to enlarge.

Normal TOT Sling

Normal TOT Sling

Outward tension causing Groin Pain

Tension causing Vaginal Pain

Portion of mesh removed to relieve tensionn

Mesh removed to relieve pain


Removal of Mesh Tape Suburethral Sling




TOT or TVT Sling Removal - Vaginal Pain / Difficulty Emptying Bladder