8939 S. Sepulveda Blvd. Suite 102 Los Angeles, CA, 90045 | 2570 N. First Street 2nd Floor San Jose, CA, 95131 | 700 12th Street, N.W., Suite 700, Washington, District of Columbia 20005 | 931 10th Street, #962 Modesto, CA 95354 | (817) 809-9023
“TephaFex sling is completely removed by the body over two years. This would eliminate more than half of all mesh revision surgeries at 15-years,” states Greg Vigna, MD, JD, national mid-urethral sling attorney. What is the long-term risk of surgery for polypropylene mesh related complications? “In our study population, the 15-year risk of sling revision [...]
“When patients report lower limb or groin pain immediately after surgery, injury to the obturator or pudendal nerve is often suspected, and mesh removal most often cures the pain. When isolated pain occurs later on after mid-urethral sling insertion, the first-line treatment is often medical," states Camille Armengaud, MD. Read Dr. Armengaud’s article “Serious complications [...]
“I doubt a study comparing the Altis to the TephaFex mid-urethral sling will ever happen. I anticipate the P4HB technology will finally end the polypropylene vaginal mesh debacle,” states Greg Vigna, MD, JD, national mid-urethral sling attorney. What was reported about P4HB slings in the 2024 article, “Safety and Efficacy Report for the Poly-4-Hydroxybutyrate as [...]
“Polypropylene and PVDF slings showed similar high cure or improvement rate (91.0% vs. 95.6%) … A higher incidence of long-term pain events were observed in the polypropylene group,” states Dr. Jordi Sabadell. What did a randomized polypropylene tranobturator sling versus PVDF transobturator sling show in Dr. Jordi Sabadell’s article “Polypropylene and polyvinylidene fluoride transobturator slings [...]
“Clearly, the women who were assigned into the Coloplast Altis group ‘drew the short straw’ as their sexual function was placed at risk as a result of this device when compared with full-length mid-urethral slings” states Greg Vigna, MD, JD, national mid-urethral sling attorney. Dr. Greg Vigna, national mid-urethral sling attorney, states, “Level 1 Evidence from [...]
“One prospective cohort study of 116 women receiving Altis reported groin/hip/thigh pain (8%), dyspareunia (1%), and tape exposure (3.5%) at 12 months’ follow-up, but, interestingly, no further new AEs at 24 months’ follow-up," according to Health Technology Assessment, No. 26.47. Dr. Greg Vigna, national mid-urethral sling attorney states, “It's an Interesting point about the Altis [...]
“(Full-length mid-urethral slings) are associated with significant complications, including bladder perforation and vessel injuries with RMUS (retropubic slings), and postoperative groin and thigh pain with TMUS (transobturator slings). To minimize these complications, a new generation of slings emerged: single incision slings (SIS),” states Dr. Le Mai Tu, Neurourol Urodyn. 2023; 42: 1722-1732. Dr. Greg Vigna, [...]
“Our client has allegedly been seriously injured from the Altis mini-sling. The data from the Coloplast Altis 522 study reveals acute pain in the limb following the procedure that, in this study, was unique to the Altis group and not in the full-length mid-urethral sling group," states Greg Vigna, MD, JD, national mid-urethral sling and malpractice attorney. [...]
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. [...]
