Polypropylene mesh causes acute, chronic inflammation that cause pelvic floor myalgia, hip adductor myalgia (groin pain), pudendal and obturator neuralgia. The polypropylene mesh of transobturator (TOT) slings, commonly used in the surgical management of stress urinary incontinence (SUI), are designed to pass into the groin and through the thigh to provide a hammock-like support [...]

There is a large percentage of urologists, gynecologists, and urogynecologists who don’t place TOT slings because of catastrophic, life-altering pain syndromes. Cleveland Clinic’s Chair of its Obstetrics and Gynecology & Women’s Health Institute, Dr. Beri Ridgeway, in a 2019 presentation stated mid-urethral synthetic polypropylene slings are the “definite standard of care” after being cautioned [...]

Does the Altis sling, like other mini-slings, reduce the risk of obturator and pudendal neuralgia when compared to TVT-O or TOTs? Coloplast sponsored an Investigational Device Exemption (IDE) for the Altis sling used in the surgical management of stress urinary incontinence (SUI) to obtain data of safety and efficacy with 113 women and the [...]

Will transobturator polypropylene slings be next to be banned by the FDA? On April 16, 2019 the FDA banned the transvaginal mesh devices used in the treatment of pelvic organ prolapse because there was no evidence that the devices worked better than non-mesh repair and there was no data to support that they were [...]

Matrix settlements provided little relief for women with catastrophic pain syndromes that lead to a lifetime of disability and need for ongoing medical care. There is little dispute that the Transvaginal Mesh (TVM) Multidistrict Litigation (MDL) in the Southern District of West Virginia failed to provide a path to adequate compensation for the most [...]

Women with disabling injuries have yet to settle claims against TVM manufacturers because accepting the offer would result in living as a medical indigent. Within the rubble of the West Virginia Transvaginal Mesh Multidistrict Litigation (MDL) are likely a few hundred or so brave women with disabling injuries who have yet to settle their [...]

For women with injuries from the transobturator slings, there are symptoms and types of disability that suggest obturator and pudendal neuralgia injuries. Ben Martin, Esq., national pharmaceutical injury trial attorney and partner at Martin Baughman PLLC in Dallas Texas answers: “They can both be strong cases depending on the facts. In many jurisdictions in [...]

The TOT and TVT-O were developed for the management of stress urinary incontinence. Unfortunately, women's obturator nerve and its branches are in peril. Dr. Delorme first described the “outside-to-in” transobturator tape (TOT) in 2001 which gave birth to the Monarc sling (American Medical Systems), the Obtryx (Boston Scientific), the Align TO (Bard), and the [...]

The path for severely injured women to obtain justice became more certain, as newly injured must have their cases filed directly in State and Federal Courts. The transvaginal mesh (TVM) Multidistrict Litigation (MDL) in the Southern District of West Virginia closed its doors to new cases on June 21, 2018. As a result, the [...]

Do you suffer from pudendal, obturator, or ilioinguinal neuralgia? Understand the conditions, obtain the medical care and, if necessary, legal care. Martin Baughman, PLLC, a trial firm that specializes in medical device litigation, understands the magnitude of harm to women suffer caused by the catastrophic pain syndromes caused by the vaginal mesh: “These devices [...]