One third of women surgeons who treat stress urinary incontinence would not elect to have a polypropylene sling.

Dr. Greg Vigna, mid-urethral sling attorney, “AUGS remains silent. The FDA remains silent. This at the same time 1/3 of women surgeons who treat stress urinary incontinence would not elect to have a polypropylene sling. What percentage of orthopedic surgeons would not take an artificial hip if they had disabling pain from hip arthritis? I think we have a problem. That problem is that AUGS is supporting an old technology device that has a 7.9% rate of revision surgery for complications from the mesh and 17.9% surgical rate for failed treatment of stress urinary incontinence at 15-years. I’m not sure what the FDA is looking at. I know what AUGS is looking at, it is money for putting trash devices in and taking trash out after it injures women.”

Dr. Vigna continues, “Polyvinylidene fluoride (PVDF) is a biomaterial used nearly everywhere else in the world but is not in the United States. PVDF is more expensive than polypropylene but is available in countries without the resources as the Unitied States. PVDF used in mid- urethral sling works as well as polypropylene slings with less soft tissue inflammation. In otherwords, there is no real downside when compared to polypropylene except cost.”

“Despite 35% percent of female surgeons saying, ‘I wouldn’t want a polypropylene sling if I leaked’, the leadership at AUGS does nothing to bring PVDF to the United States.” — Greg Vigna, MD, JD

Dr. Vigna concludes, “Ethicon, Coloplast, and Boston Scientific clearly controls the market in the United States and controls the minds and opinions of AUGS. The leadership at AUGS is waiting for a safer sling. That sling is made of PVDF which has less inflammatory response of soft tissues and is as effective at treatment of stress urinary incontinence and is available across the world, except the United States.”

Vigna Law Group is investigating the Red Flag Warning symptoms of neurological injury from mid-urethral slings include:

  1. Groin pain
  2. Hip pain
  3. Inability to wear tight pants
  4. Clitoral pain or numbness
  5. Severe pain that makes vaginal penetration impossible
  6. Tailbone pain
  7. Anorectal pain
  8. Painful bladder
  9. Pain with sitting

Dr. Vigna is a California and Washington DC lawyer who focuses on catastrophic injuries and the neurological injuries caused by mid-urethral slings including pudendal neuralgia, obturator neuralgia, ilioinguinal neuralgia, and complex regional pain syndrome. Ben Martin is a national pharmaceutical injury attorney in Dallas, Texas. The lawyers represent women in courts across the country.

To learn more on the anatomical basis for TOT complications including obturator and pudendal neuralgia and the treatments of obturator and pudendal neuralgia click here.

Read our FREE BOOK on Vaginal Mesh Pain.

For articles, video resources, and information visit the Pudendal Neuralgia Educational Portal or visit

Click the following link for information regarding sling related complications:

Greg Vigna, MD, JD
Vigna Law Group
+1 800-761-9206
email us here
Visit us on social media: