Category Archives: TVT-O

This is Why You Hurt with Mesh Inside by Stacy Dean Seymour

Today’s blog is by a guest host: Stacy Dean Seymour

Why we hurt?
The anchors are thread through the sacrospinous ligament that parallels the pudendal nerve and branches. (Nerve damage) They are anchored with a grommet on both sides of pelvis. This is why you have pelvic pain, hip pain and every pain, as well as lower back pain. Then two more needles are thread through blindly ( by touch and expert: cough cough) to both sides of obturator foramen. This is why you are unable to sit, your hips are killing and your bum feels like glass is in it.

And as time goes by- providing you didn’t wake up in the PACU hanging from the ceiling saying “WTF” the mesh tightens as you heal, it calcifies like hard melted plastic, and or when you heal your body heals from the inside out and eventually rejects it and or begins the protrusion into your orifices. Your bodies autoimmune response kicks in immediately and produces killer cells-that begins another cascade of immuno response! I can’t sleep tonight and saw a few new people and took my nursing knowledge, research and personal experience of WTF happened to me. I hope this helps and sometimes visualizing is the best way to understand a process. I wish you all well and hope we all can find peace in some shape or form. – Stacy Dean Seymour

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Keep Mesh Owners Guide Going

Pudendal Nerve Injury Caused by Improper Insertion of TOT Obturator Tape – Pelvic Pain

The two main nerve complications TOT-injured women report in support groups are 1) pudendal and 2) obturator in that order. Because most studies do not evaluate for nerve injuries past 3-12 months, there is no scientific estimate of how common the injury is. Our experience is that it is extremely common. Pudendal injury causes persistent pain localized around the urethra and around the clitoris, irradiating to the one labia majora (maximum at the lower edge of symphysis) or both.

Polypropylene creates cripples when placed inside the pelvis.

The pudendal nerve is nowhere near the pathway of an obturator tape so how did the women get injured? The mystery may have been solved by three Czech investigators.

In 2011, Jaromir Masata & Petr Hubka & Alois Martan decided to look into why their patient, a 48 years old female obtained a pudendal nerve injury. After receiving a TVT-O, the woman experienced what the authors saw as an “atypical” postoperative pain that continued without relief for three years. While the authors treated her with injections and replaced her sling with yet another dubious tape, the work they did to track down the cause of her injury is valuable.

Authors circled scar and placed a “+” pointing to correct placement location.

The woman’s insertion scar (see Figure 1) was in the wrong place. By using a cadaver to trace the aberrant passage of her sling, the researchers found it intersected with the pudendal nerve. How many others were injured this way? Are you one of them? Was your transobturator tape placed incorrectly? If the manufacturer provided short videos and an instruction sheet, was that adequate training for your surgeon?


Peggy Day is working on a book to combine all these stories. This is an excerpt from Pelvis in Flames: Your Pelvic Mesh Owner’s Guide. Your input is welcome to help make Pelvis in Flames the book you need to read.

If you’d like to join an online support group and learn about erosion, partial removals, surgeons, or just find out that you are not alone, join my group, Surgical Mesh or check the list of support groups here.

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