Bladder Perforations from Transvaginal Mesh Implants
The Food and Drug Administration (FDA) issued a safety alert in October or 2008 and updated it with a stronger warning in July, 2011, stating that transvaginal mesh implant surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) could cause perforation of internal organs, including the bladder, in addition to other complications.
A European study found that bladder perforation occurred in 3.5 percent of women who had the mesh implants, compared to a rate of only 0.5 percent in non-mesh surgery group, who had the traditional surgery using sutures, known as a colporrhaphy. In other words, the mesh multiplies the likelihood of bladder perforation by seven times. Pelvic bleeding, infection, and other serious complications are also more common in the women who have been treated with the mesh.
Bladder perforation occurs when pelvic mesh implants become displaced. The rough edge of the synthetic mesh fiber can puncture the wall of the bladder, causing urine to leak into the abdominal cavity or the surrounding organs.
Symptoms of a Perforated Bladder
The symptoms of a perforated bladder can vary according to the location of the puncture. Common symptoms include inflammation and pain in the abdominal area, bloody urine, difficult or painful urination, bloating, dehydration, and increased heart rate.
Diagnosing Perforated Bladder
To determine if there is a perforation in the bladder, a doctor can perform either a CT scan or a test called retrograde cystography. This involves a using catheter to inject a contrasting solution will show on an x-ray where fluid is leaking out of the bladder. CT scans can also be used to diagnose a bladder rupture.
Types of Bladder Perforation
Two types of bladder perforation are
- Intraperitoneal rupture, usually near the top of the bladder, where urine will leak out into the abdominal cavity
- Extraperitoneal rupture, usually on the bottom or side of the bladder, which causes urine to leak into the tissue around the bladder but not into the abdominal cavity.
Treatment and Recovery
Small extraperioneal perforations can sometimes be treated by using a catheter to drain urine and blood from the bladder while it heals. If it doesn’t heal with this treatment, or if the perforation is a large one, surgery is usually necessary. Intraperitoneal ruptures always require surgical repair to keep urine from leaking into the abdominal cavity.
A physician will also usually prescribe antibiotics to prevent infection.
It is common for patient to have an overactive bladder for a several months because of inflammation of the bladder lining. This can be treated with anti-inflammatory medications.
Join the Fight
If you or someone you know has suffered from a perforated bladder following transvaginal mesh implantation, you may be able to receive a financial recovery to compensate you for your damages, including both financial damages from medical expenses, lost work, and other expenses directly related to the perforation, and non-economic damages, such as pain, suffering, and loss of quality of life.
The McDonald Law Firm and Harrison Davis Steakley Morrison, P.C. are working to get money for the many women who have suffered disabling and painful complications of transvaginal mesh implants in litigation against the manufacturers. If you are among the thousands of women who have become victims of these dangerous medical products and want to find out if you are eligible to get monetary compensation while holding the manufacturers accountable for the harm they’ve caused in the pursuit of profits, contact us by calling (877) 803-2897.