Chronic Pelvic Pain with Synthetic Vaginal Mesh and Slings - Surgeries

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Ongoing treatments of chronic pelvic pain caused by the use of mesh include physical therapy, opioid pain medications, Gabapentin, for weakness, numbness and chronic pain from nerve damage, antidepressants, muscle relaxers including Baclofen and Valium suppositories, Botox to the pelvic floor and Ketamine suppositories or ointments.
“The treatment for centralized pain is nerve blocks and ketamine from vaginal suppositories. Those patients also have pain from muscle spasms and it creates a positive feedback loop. They have pain that causes muscle spasm, which causes more pain. So you need to break that positive feedback loop. You do that with Botox. You try to relax the muscles. And when patients start understanding that there's no magic treatment that it takes time and years of work from them, then they start to understand that they will get better.”
-Michael Hibner, M.D.
Pelvic Pain Specialist
For these women, chronic pelvic pain and physical dysfunction caused by a failed synthetic mesh often leads to severe depression and requires psychological support and counseling.
“Unfortunately we see a very high rate of depression among our patients. Those are women who are in chronic and debilitating pain. They may have lost their job because they can't work. They may have lost their partner because they're not able to be sexually active. So, of course they're very depressed.”
-Michael Hibner, M.D.
Pelvic Pain Specialist