Fill Out the Form Below
Fields Marked With an * Are Required
Your Name* Please leave this field empty.
Were you or a loved one implanted with vaginal mesh?* —Please choose an option—I wasLoved OneNot a mesh inquiry
Which complications have you experienced after the surgery?* InfectionPelvic painDepressionIssues with sexRemoval of deviceExtrusion of deviceHardening of deviceComplications not listed
Why was the mesh implanted?*Stress Urinary IncontinencePelvic Organ Prolapse
Date of the surgery*:
Your Phone Number*
Your Email*
Street Address*
City*
State*
Zip Code*
Message
Opt-in to our emails to stay up to date on the latest news and information.
(800)761-9206
1155 Coast Village Rd, Suite C Santa Barbara, CA 93108
