about what we did in the past and what kinds of problems there were.
They're quick to scold us for using mesh, but in my hands, these prod-
ucts have done very well. Yes, we have complications, but there's not
an incontinence operation that's ever been done that doesn't have (the
potential for) complications."
There's less confidence overall about the efficacy of treating pro-
lapse with mesh, however. "I have definitely reduced my use of mesh
for those purposes," says Dr. Lyons.
"We shouldn't be using mesh for every single patient who has pro-
lapse," says Dr.
Feagins. "But when it's
used correctly, and
appropriate tissue
planes are found, and
the product is placed
where it's supposed to
be placed, it's basically
a great product, and it
helps people who
have very, very bad
prolapse situations."
A lawyer's
delight
Many women have
been helped, but many
have been hurt, too.
And attorneys have
picked up the scent of
deep-pocketed device
A U G U S T 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 4 1
• PRODUCT PLACEMENT Urologist Brian A. Feagins, MD, (right) says vaginal mesh isn't to blame
— it's doctors who mistakenly place it. "Mesh doesn't erode into the bladder, it doesn't erode into
the urethra. It was placed there in the first place and the doctor just didn't know it," he says.
Vicki
Schultz,
RN,
CASC
