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Dr. Greg Vigna, national malpractice, mid-urethral sling attorney, states “retropubic slings that are placed lateral to the arcus ligament into the obturator internus muscle can cause acute groin pain that becomes chronic. Women with acute groin pain following a retropubic sling cannot have their pain dismissed by their implanting surgeon as laterally positioned arms of retropubic [...]
Dr. Greg Vigna, national mid-urethral sling attorney states, “The New England Journal of Medicine (NEJM), “Single-Incision Mini-Slings for Stress Urinary Incontinence in Women,” there remain unanswered questions regarding which single incision mini-sling, the Coloplast Altis or the Bard Adjust, was more responsible for the 2.5x greater risk of dyspareunia in the mini-sling group when compared [...]
“Transobturator tape removal with bilateral groin dissection improves patients’ pain and quality of life. It is associated with a high rate of overall satisfaction, low morbidity and an acceptable rate of stress urinary incontinence recurrence compared to partial removal. Groin dissection should be in the armamentarium, available for patients suffering with mesh complications," says Dr. [...]
“There was no discernible difference in terms of effectiveness or quality of life between patients treated with bulking agents and those treated with single-incision slings (Coloplast’s Altis sling)” states Dr. Lorenzo Campanella, Rome, Italy. What else did Dr. Campanella’s study, “Ultraminimally Invasive Surgery in Stress Urinary Incontinence Treatment: Prospective Comparative Analysis between Comparative Analysis between [...]
“There is a biodegradable mesh approaching the market that is resorbed from the body over two years and replaced by collagen. Not a permanent device because it is 100% degraded and removed from the body. This and other technology should push the defective cash cow polypropylene mid-urethral slings from the market that have injured two [...]
“Safer alternative designs for the defective polypropylene mesh that was banned in transvaginal placement for pelvic organ prolapse in 2019 and causing ongoing groin pain in women who undergo mid-urethral sling placement are lining up” says Greg Vigna, MD, JD, national mid-urethral sling, malpractice attorney. Dr. Greg Vigna, national pharmaceutical injury attorney, states, “PVDF has [...]
“In patients with low-risk cervical cancer, simple hysterectomy was not inferior to radical hysterectomy with respect to the 3-year incidence of pelvic recurrence and was associated with a lower risk of urinary incontinence”… Dr. Marie Plante, New England Journal of Medicine, 2024; 390: 819-829. What else did Dr. Plante report in “Simple versus Radical Hysterectomy [...]
“The study aims to compare the efficacy and safety of bulking agents and single-incision slings … at our follow-up there was no discernible difference in terms of effectiveness or quality of life between patients treated with bulking agents and those treated with single-incision slings (Coloplast’s Altis sling)” … Dr. Lorenzo Campanella, Rome, Italy. What else [...]
Polypropylene-induced fibrosis links to pudendal neuralgia; red flag symptoms and PVDF benefits emphasized In our second clinical case, an irritation of the nerve might have occurred due to the fibrosis generated by the posteriorly deviated passage of the sling in the obturator foramen, close to the sacrospinous ligament” … Dr. Nasser Habib, Gynecologist, Siena, [...]
The underlying data compared complications of the retropubic slings with transobturator slings and compared the Altis mini-sling to Bard’s mini-sling. We have been waiting for the underlying data from the New England Journal of Medicine, published on March 31, 2022. The underlying data compared complications of the retropubic slings with transobturator slings and compared [...]