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mesh revision, rectocele repair and smoking mesh revision, rectocele repair and smoking

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Unread 11-08-2010, 08:01 AM
mesh revision, rectocele repair and smoking

I have had a complete hyster, then 2 years later a pelvic prolapse. Wore a pessary for about a year then finally had the surgery. Then 2 years later developed a mild rectocele, wore a pessary again for about 8 months, and then developed an infection along with mesh erosion. Guess the pessary was rubbing up against the mesh and then it became eroded and infected. My reg gyn referred me to a urogyn who I just saw last week. She concurred with the erosion and the infection and said it needed to be repaired pretty quickly. I also have a grade 4 rectocele which she said she could tack up while she was in there. She also said that I would feel like I had an episiotomy and my recovery should be pretty quick since all of this will be done vaginally. Then depending on how well all of this works, if my rectocele recurs, I can go back on a different pessary which won't be anywhere near the mesh, or we can talk about further surgery. She said we would need to address my issues in stages and then asked me if I had ever smoked. Well, I did for a very long time but quit 3 1/2 years ago. She said smoking affects the elasticity of the connective tissue and this could probably be why I have had the problems that I have had.

Anyone have anything to share on ANY of this? I should have asked for more info on "tacking back up the rectocele" but I think I was in a daze at that time. She only mentioned using mesh in a future surgery and she would use the DaVinci assisted robot to do it so it would be minimally invasive. I go back to see her on 11-18 and my surgery is scheduled for 11-22.
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Unread 11-10-2010, 12:24 PM
Re: mesh revision, rectocele repair and smoking

So sorry you are going through this. Did you have an infection/erosion from mesh from a sacropopexy or from transvaginal mesh? I was a smoker for many years as well. Wishing my OB had done a c section because of that, my age(41) and other factors! I would make sure you are fully informed about what procedures she is doing. She mentioned using mesh in a future surgery when you have had a bad reaction to mesh already? Hopefully this surgery will solve your problem. Best of luck to you, and let us know how it goes.
Unread 11-10-2010, 02:08 PM
Re: mesh revision, rectocele repair and smoking


I wouldn't say I had a bad reaction to the mesh - but I honestly don't know! My gyn suspected the pessary rubbed up against the mesh which caused the erosion which probably led to an infection. I went for nearly two years without any problems at all until I developed a rectocele and needed to wear a pessary for the discomfort. I need to ask my urogyn her thoughts on that. You're right - I need to find out every detail. I hate that I was probably in a daze when I was in there.

Next appt - I'll have a list of questions to ask!
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Unread 11-10-2010, 02:44 PM
Re: mesh revision, rectocele repair and smoking

i had the vaginal surgery for rectocele three weeks, ago

i don't understand why they are saying they would do the rectocele repair and then do it again?
Unread 11-10-2010, 03:47 PM
Re: mesh revision, rectocele repair and smoking

Thanks for responding!

The urogyn said while she was performing the mesh revision, she would tack up the rectocele. (how? - I forgot to ask) Then, after several weeks or months, if the rectocele recurs, I would have the option of using a pessary, or having a future surgery using mesh to repair the rectocele.

I see you had your rectocele repaired vaginally with a porcine graft. If you don't mind, I would like to know more about that in case I have to have the future surgery. I certainly never want to have another belly surgery.

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