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The Voices Today on Messed up Mesh (TVT Mum)
Help and support to both men and woman who have had the medical device TVT Retropubic, TVT-Secur, TVTO and TOT, synthetic polypropylene mesh for hernias, prolapse, stress incontinence and bladder and bowel disorders. You're not alone!

"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.

latest news
Updated: 25 July 2017 - Please view the Latest News > > >
The latest news webpage is updated regularly with all monthly Worldwide activities including real stories, press, videos, and more! for all the latest news throughout the year www.tvt-messed-up-mesh.org.uk/latest-news.html




Date: 25 July 2017
Please scroll down the page to read the latest important news
The NHS England Report by the Mesh Oversight Group
Published 25 July 2017

Advisable to read this link first www.england.nhs.uk/ourwork/qual-clin-lead/mesh/ > > >
Please scroll down the page to read the lastest important news from the NHS and some pointers within the The NHS England Report by the Mesh Oversight Group. NHS England mesh oversight group

NHS England Report published 25 July 2017 Foreward by Professor Keith Willett - It is right and proper for those who deliver, lead and regulate health care to listen to patients' concerns and work with all parties to resolve them. A programme of work was initiated in response to concerns from women who developed complications following surgery using vaginal mesh devices to treat stress urinary incontinence (SUI) and treat pelvic organ prolapse (POP These women felt their concerns had been ignored. I recognised there were issues to be addressed.

I previously chaired the Mesh Working Group which explored the issues with patients and made recommendations to the system in its interim report. I also chaired the Mesh Oversight Group to oversee implementation of those recommendations by the responsible bodies, as described in this final report. To read more from Professor Willet and the the full report please visit the link below:
www.england.nhs.uk/publication/mesh-oversight-group-report/ > > >

The British Association of Urological Surgeons (BAUS)
Available Centres and Contacts for Review of Mesh Complications - A number of Trusts have agreed to see women with significant mesh problems after Stress Urinary Incontinence (SUI) and Pelvic Organ Prolapse (POP) surgery.
NHS England multidisciplinary teams in the UK
To read more and to view the list of Multidisciplinary teams in and around the UK please visit the link below:
www.baus.org.uk/patients/sui_mesh_complications.aspx > > >

British Society of Urogynaecology (BSUG)
Information for Patients including NHS Leaflets plus the Named Units being able to see and treat women with mesh related problems - The following units (the website mentions you can downlod the PDF here) have agreed that they are happy to see women who have significant mesh problems following incontinence or prolapse surgery where mesh was inserted.
Support for women with post-operative problems
The PDF document from BSUG includes Hospital unit address, clinical lead and members of the Mutidisciplinary (MDT) team in and around the UK.
To read more please visit the link below:
http://bsug.org.uk/pages/information-for-patients/111 > > >

Mesh resource for General Practitioners (GPs) Page 47 within the report
mesh resource for general practitionors
To view the full report including resource for GPs please visit the link below:
Information for Health Professionals on Mesh Implants
Document first published:25 July 2017
www.england.nhs.uk/publication/information-for-health-professionals-on-mesh-implants/ > > >

MHRA Reporting Adverse Incidents
Patients mesh related complications - Raising patient's awareness of self-reporting adverse incidents to MHRA
MHRA reporting adverse incidents by the Yellow card system
Please report mesh complications adverse incidents on the MHRA website: https://yellowcard.mhra.gov.uk/ > > >

More News to reach us at a later date
The NHS England Mesh Oversight Group work is not finished - There's more News arriving at a later date:
1. National Institute of Clinical Excellence (NICE) as mentioned in the report - The future - The combined SUI and POP guideline is planned for publication in 2019. NICE guidelines are reviewed on a regular basis, at intervals that are influenced by the publication of new evidence and the capacity of the guidelines programme.

2. Developing a Registry - The future - The registries subgroup will continue to meet to consider the best way to capture accurate data on the use of mesh and mesh complications. The sub group will report on its findings and make recommendations by November 2017, the original date for publication of this Oversight Groups final report.

3. Medicines Health and Regulatory Agency (MHRA) Improving rates of reporting - future - The effects of this drive on reporting should be seen as MHRA data is released on reporting rates. MHRA will continue to evaluate ways to raise awareness of the yellow card system. Reporting will become common practice as an essential component of self-declared mesh complication treatment centres and eventually specialist commissioning arrangements.

4. Multidisciplinary Teams in and around the UK - The NHS England work continues in other areas of concern as discussed on 25 July 2017 and is under consideration.

NHS EnglandUpdated: 3 December 2015
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 all the meeting appointments and messages please click on the following link:
www.tvt-messed-up-mesh.org.uk/NHS-England-Patient-Public-Voice-Members.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 has approached the TVT Mum website 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 a growing serious health problem and needs urgent attention.

12th January 2012
By Lorraine Evans
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
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 >>>

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?

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.


Navigation links within the TVT Mum website

Hidden Disability Chronic TVT/Mesh Implant Inflammation |
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British Medical Journal | Dispatches Channel 4 Documentary 'The truth about going under the knife'

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