Risks, Side Effects and Complications
Abnormal bleeding after A-P Repair with Mesh
- Abnormal bleeding which may lead to hematoma formation is very seldom noted with less than 1 % of surgeries, possibly caused by walking and other activities. In this connection Aspirin and other anti-coagulant drugs should be avoided at least 10 days before and after the scheduled surgery.
- If excessive bleeding from the surgical wound occurs after surgery, all expenses for services and treatment for this post-surgical complication will no longer be charged to you. However, if the bleeding or other complications occur due to your non-compliance with the doctor’s orders, you will be charged accordingly.
The difficulty in urination after A-P Repair with Mesh
- Usually you may be catheterized for 3 days after the surgery. Then, when the tension of peri-vaginal muscle disappears disappears, you will be able to have urination yourself. Some women, less than 1%, may experience the difficulty in urination and may be catheterized for more than 3 day after the surgery.
- At home after A-P Repair with Mesh, some women may subsequently experience the difficulty in urination especially in the first 5-7 days after the surgery. If so, please contact the Hospital to ask for advice or please come to see the Dr. Vitasna for the treatment of the cystitis caused by the retention of urine.
Abnormal vaginal discharge after A-P Repair with Mesh
- The women may have abnormal vaginal discharge, darkening discharge, yellowish discharge after the procedure because the vagina is full of secretion fluid and various kinds of bacteria have reaction to tissues and suture materials. (The suture materials must be absorbable to become decayed after complete healing taking 6-8 weeks.) --Therefore, after the procedure, you may have abnormal vaginal discharge for up to 6-8 weeks. In case of smelly vaginal discharge, you have to take additional medications.
Inflammation or infection after A-P Repair with Mesh
- After the A-P Repair with Mesh inflammation or infection of the wound may occur because the surgical wound is in the vagina may constantly be prone to contaminated with the fluid from vaginal tract, urinary tract and alimentary(fecal) tract.
- After the A-P Repair with Mesh, mostly the inflammation or infection of the wound may happen to any women who fail to follow the instructions, follow the instructions incorrectly or have existing diseases such as diabetes or have vaginal infection before the surgery.
- Inflammation or infection of the wound after the A-P Repair with Mesh may cause complications such as wound deformation, suture mark (scar) or wound disruption, leading to abnormal vaginal bleeding. In case of the vaginal scar located at the G-Spot may interrupt the sexual gratification.
- You may experience different symptoms including fever, infection, urine or stool flowing out of the vagina. These are severe complications which are rarely noted. If these are experienced, the mesh has to be removed.
- After the A-P Repair with Mesh procedure, you may have iching or curd like discharge as a result of vaginal fungi, possibly following taking antibiotic to avoid post-operative infection and needing anti-fungal medication or suppository.
The mesh bulging or protruding out of the vagina after A-P Repair with Mesh
- Recently, the study shows that thinner mesh, including the improved operative technique and experience, can contribute to lower rate of the bulging or protruding out of the vagina. With the protruding, you may have vaginal bleeding or pain.
- An initial protruding may be healed using antibiotics and/or estrogen cream. With no relief, the protruding mesh has to be removed or trimmed out.
Pain around vagina, legs and/or buttock after A-P Repair with Mesh
- Normally, this occurs due to the tension between the mesh and tissues causing too tightened mesh and thus daily pain. The treatment may be conventional (if a little pain) including the physical therapy of the pelvic floor, antibiotics injection and estrogen cream. If severe, a corrective surgery will be needed.
- However, as a rare case, no matter how careful the mesh is inserted, this complication may be experienced. The pain must be treated applying the corrective surgery or the removal of the mesh, the cause of the pain.
Mesh decay penetrating to bladder or rectum after A-P Repair with Mesh
- Leakage between bladder or (rectum) and vagina is theoretically considered a rare precaution. In this respect, if the you have some vaginal fluid with urine or feces-like smell, please inform Dr. Vitasna immediately for prompt diagnosis and treatment of such symptom before worsening.
- This complication may cause relative disorders, such as bladder pain, bloody urine, recurrent cystitis, acute or chronic urinary infection, recurrent urinary infection, urethra wound, vaginal stool, bloody stool, vaginal abscess, whole body infection(sepsis) and others. These are severe and need a major surgery.