TVT Messed up Mesh (TVT Mum)

"Listen to your heart as well as your mind to know we are all brothers and sisters as one energy and life force together" by Lorraine Evans.

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Updated 28 September 2014
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Date: 28 September 2014
Please click on the link below to read the full details on the forthcoming TVT Mesh Support Group Meeting on 25 October 2014:
www.tvt-messed-up-mesh.org.uk/tvt-mum-support-group-meetings.html

NHS England28th September 2014
In July 2014 NHS England confirmed Lorraine Evans and Hayley Martin are appointed to the working group as Patient and Public Voice (PPV) Members
To read more information please click on the following link:
www.tvt-messed-up-mesh.org.uk/NHS-England-Patient-Public-Voice-Members.html

Updated: 28 September 2014
Please click on the link to view all the latest news updates

www.tvt-messed-up-mesh.org.uk/latest-news.html


29th July 2013
Mesh Sling in an Era of Uncertainty: Lessons Learned and the Way Forward

Christopher R. Chapple, Shlomo Raz, Linda Brubaker and Philippe E. Zimmern
Published online 4 July 2013
European Association of Urology

For many years, synthetic mesh was avoided whenever possible for surgical treatment of stress urinary incontinence (SUI) and/or pelvic organ prolapse (POP) because of the recognized complications of fibrosis and erosion seen with Mersilene [1] and Gore-Tex slings [2].

Petros and Ulmsten [3] in 1990 and Petros and Papadimitriou [4] more recently described a fairly simple procedure with tension-free vaginal tape (TVT), during which the surgeon placed a thin strap of polypropylene mesh in a midurethral position. Since the 1990s, the marketing and use of synthetic materials for SUI and POP indications have dramatically increased. This was particularly noticeable after the publication of a randomized controlled trial comparing TVT with colposuspension [5]. A number of similar procedures were subsequently granted marketing licenses with little clinical data from adequately powered randomized studies. This was followed by a series of modifications including transobturator tape (TOT) [6] and, recently, a wave of single-incision slings, or mini-slings, to prevent passage of trocars through the retropubic space or obturator fossa [7]. Concomitantly, the specialty of female pelvic medicine and reconstructive surgery has witnessed the very rapid growth of larger segments of synthetic material, referred to as mesh, being implanted beneath the vaginal wall to correct POP based on the early data supporting efficacy of TVT and TOT.

More than 40 implants are on the market [8] and [9] and are used with little evidence related to mid- and long-term safety and efficacy. Training to place these new implants has often comprised cadaver courses on weekends, review of video procedures, observing “experts” performing implants, and mentorship in institutions by a visiting surgeon. The use of these materials and the surgical techniques have not been limited to subspecialist practice. In 2008, following an escalation in complications reported to the Manufacturer and User Facility Device Experience (MAUDE) database, the US Food and Drug Administration (FDA) issued a first notification to inform the public [8] that these devices and “kits” had risks, should be used with caution, and might result in nonreversible outcomes [10]. A second FDA notification in 2011 sounded even more alarming [11] and provoked a chain reaction from patients, physicians, manufacturers, and lawyers. Similar initiatives were under way in the United Kingdom, with recognition of the problem by the Medicines and Healthcare Products Regulatory Agency (MHRA) [12] and [13]. As the Internet facilitated connection between desperate patients seeking help [14], television advertisements started to inform the public about issues related to “transvaginal meshes.” A number of Web sites inspired by patients’ experiences identified problems with mesh (eg, TVT Messed up Mesh [TVT Mum], http://www.tvt-messed-up-mesh.org.uk/).

During specialty meetings, many presentations and discussions have focused on mesh or tape complications and their management, specifically, obstruction, pain, dyspareunia, and erosion that may have irreversible consequences despite multiple interventions [10]. In daily practice, patients have begun to inquire more intensely about “mesh” or “tape,” and the regulatory authorities have provided information for patients on this subject. There is a lack of registries to establish the true incidence of the problems with the use of synthetic materials, as has been recognized with the underreporting of these complicated cases to the “optional” MAUDE database [15] and to the other regulatory bodies such as MHRA in the United Kingdom. Although voluntary registries have been established by professional groups, they do not provide accurate information because registration of all cases would be required and, invariably, existing voluntary registries are prone to selective reporting of cases. To read the full article please click on the links below:

To read full article on the internet it's best viewed in Google Chrome Browser please click on the link below:
http://www.europeanurology.com/article/S0302-2838(13)00660-X/pdf/Mesh+Sling+in+an+Era+of+Uncertainty%3A+Lessons+Learned+and+the+Way+Forward
To view the article in full text PDF please click on the link below:
Mesh-Sling-in-an-Era-of-Uncertainty-Lessons-Learned-and-the-Way- Forward.pdf
To read the article on our website please click on the link below:
www.tvt-messed-up-mesh.org.uk/Mesh-Sling-in-an-Era-of-Uncertainty-Lessons-Learned-and-the-Way-Forward.html

29th July 2013
Midurethral tape surgery for incontinence; a possible victim of the vaginal mesh crisis?

12 Apr 2013
incontinence, Marcus Drake, surgery
by Marcus Drake

Type 1 mesh is used in vaginal surgery for pelvic organ prolapse repair, along with the mid-urethral tapes for stress incontinence surgery. Tapes for incontinence surgery are well-established and systematic review shows that retropubic tape is probably more effective than colposuspension, risk of bladder perforation notwithstanding [1]. The various types of mid-urethral tape appear to have broadly equivalent efficacy, but the poor quality evidence-base is an issue. The real problem lies with the major complications that can occur, some of which are highlighted in the recent statement from the US Food & Drug Administration in response to concerns expressed by patients and other stakeholders. Mid-urethral tape itself is recognised to be at risk of important complications in the long term, and mesh exposure in the vagina is a major issue with considerable detrimental impact. Patient groups have become organised in recognition of this and they are setting up online dialogues and websites accordingly, for example “tvt-messed-up-mesh.org”. The surgical professions have to agree how best to manage the difficult problems, dealing with the exposed mesh and handling the further procedures needed to re-establish continence [2].

To Read full article please click on the links below:
Website BJU International:
www.bjuinternational.com/bjui-blog/midurethral-tape-surgery-for-incontinence-a-possible-victim-of-the-vaginal-mesh-crisis/
To view the article in full text PDF please click on the link below:
marcus-drake-articles/midurethral-tape-surgery-for-incontinence-a-possible-victim-of-the-vaginal-mesh-crisis.pdf
To read the article on our website please click on the link below:
Midurethral tape surgery for incontinence; a possible victim of the vaginal mesh crisis?

A must read:
The Rt Hon David Cameron MP, Prime Minister - 10 Downing Street, London
Andrew Lansley CBE MP Member of Parliament Secretary of State for Health

Document: Urgent Review on TVT, TVT-Secur,TVTO & TOT Medical Devices and Flat Surgical Mesh used for Prolapse and Hernias
Dated: 12th January 2012
By Lorraine Evans
The document is in PDF format to download please click on this link to view:
Urgent-Review-on-TVT-TVT-Secur-TVTO-and-TOT-Medical-Devices.pdf >>>

25th March 2013
Thank you for Signing the Petition!
A massive thank you to everyone who has signed our petition this will show the Medicines and Healthcare Regulary Agency (MHRA) we are NOT small in numbers in the UK and Worldwide for the same mesh products!
Please consider signing our petition including mesh sufferers, their families, friends, colleagues, the general public even the medical world, everyone! We appreciate your support. If you haven't signed please can you sign it on the link below:
www.thepetitionsite.com/1/an-urgent-review-is-required-on-the-medical-devices-tvt-tvto-tot-and-the-use-of-mesh-graft-for/ >>>

To view peoples mesh stories showing on the petition:
www.thepetitionsite.com/1/an-urgent-review-is-required-on-the-medical-devices-tvt-tvto-tot-and-the-use-of-mesh-graft-for/
To view more information on our Petitions:
www.tvt-messed-up-mesh.org.uk/petitions.html >>>

TVT Messed up Mesh (TVT Mum)


To view more videos on our website please visit this link:
www.tvt-messed-up-mesh.org.uk/tvt-videos.html >>>

Please show you care and help us to bring awareness to the World Governing Bodies who regulate these medical devices this surgical procedure has to stop with immediate affect.

TVT Mum is a voluntary non-profit charity organization in the UK to give help and support to both men and woman who are experiencing severe health problems and complications arising from the medical device Transvaginal Tension Free Tape (TVT), Tension Free Vaginal Tape Obturator (TVT-O), TransObturator (TOT) and any other medical device using surgical polypropylene synthetic mesh for hernia's, prolapse, stress incontinence and other bladder and bowel disorders.

At this present time we do our own extensive research on this area as I was told from a Medical Professional and on good authority "the medical profession is actually very alert to surgical complications and sadly, investment in research into the area is not regarded as a priority by medical research funding bodies, which seriously hampers our ability to get a true handle on the situation".

We want to encourage Doctor's, Consultants in Urology and Gynaecology, Governing Bodies Medicines and Healthcare products Regulatory Agency (MHRA) and The National Institute of Clinical Excellence (NICE) to recognise we are all suffering and we need their support and help. Our aim also is to include enlisting the help from any other reliable organizations that can help all who are suffering and have no-where else to turn to as far as we can see for help.

Everyone who has approached the TVT Mum website has come to seek help and support to find the right consultants, surgeons and counsellors to help them through this difficult time. We also understand and can see this is now a growing health problem and needs urgent attention.

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TVT Mum website is a voluntary non-profit organization run by volunteers. The volunteers who give their help and support are sufferers themselves and there will be days where they cannot answer emails, telephone calls as quickly as we would like too. Thank you for understanding.

For more information on our petition please visit here www.tvt-messed-up-mesh.org.uk/petitions.html >>>