Vaginal Mesh Complications — Include Autoimmune / Systemic / Allergic Reactions? It has come to Dr Miklos’ attention that vaginal mesh might produce autoimmune, systemic, and allergic reactions such as: rash, welts, hives, itching, urticaria, dry eyes, muscle aches/pain, malaise, hair loss, and fibromyalgia.  Though science does not support that synthetic mesh causes the above problems, it is well known that there are people without mesh who have very rare allergies to things such as: sunlight, sweat, hormones, human touch, and even water.   I understand this is hard to believe ..read more

TEACHING MRKH SURGERY with MAYO CLINIC & DUKE UNIVERSITY  Dr. John Miklos – Neovagina Surgeon MRKH surgeon, Dr. John Miklos has been asked to teach a postgraduate course on MRKH / Mullerian Anomalies by course director Dr. John Gebhart of Mayo Clinic and Duke University urogynecologist Dr. Kassandra Kisby and at the 50th Annual Scientific Meeting of the Society of Gynecologic Surgery in May 2024. The focus of the course is on diagnosis and treatment of birth anomalies of the female genital tract. One of the most common birth defects is the condition known as MRKH and Dr. John Miklos w ..read more

WHAT ARE THE SYMPTOMS / PROBLEMS OF PARTIAL SLING REMOVAL? Patients who best benefit from only partial sling removal are rarely patients who suffer from severe chronic pelvic pain. Don’t get me wrong they may have pain and it may be long term, but rarely is it severe.  Then again as a surgeon who has been performing these surgeries (mesh removal) for 25 years, I always learn something new. The patients that most commonly receive partial sling removal from me, Dr. Miklos, are patients who are usually present with the following signs and/or symptoms. Vaginal mesh exposure or extrusion – c ..read more

BORN WITHOUT A VAGINA – MRKH SYNDROME Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital condition that affects 1/4500 women and is associated with a patient born without a vagina, born without a womb, and born without a uterus or a very short vaginal canal. The technical term for this condition is Mullerian agenesis which means the Mullerian ducts did not develop, and this leaves the patient with an absent vagina or missing vagina as well as a missing uterus and cervix. Women with MRKH are often described as having a closed vagina or absent vagina, which can make sexual intercour ..read more

BORN WITHOUT A UTERUS / WOMB A woman who is born without a uterus, also described as being born without a womb, has a congenital condition known as Mullerian agenesis or MRKH also known as Mayer-Rokitansky-Kuster-Hauser Syndrome. Mullerian agenesis means the embryologic structures, the Mullerian ducts, have not developed fully or normally and this results in poorly developed or the absence of uterus, cervix, fallopian tubes and vagina. The individual may also be born without ovaries. The absence of the vagina is specifically known as vaginal agenesis. This condition affects a small percentage ..read more

DANGERS OF SEX WITH MRKH Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital condition that suppresses the normal development of the female reproductive system resulting in a patient with underdeveloped or absent uterus, vagina, and cervix. An underdeveloped or short vagina can make vaginal penetration and intercourse challenging, however there are plenty of successful MRKH relationships and MRKH marriages which do not require vaginal intercourse. Vaginal intercourse is at the patient’s discretion, and this may require medical intervention. Sexual activity with MRKH can be dangerou ..read more

WHAT ARE THE SIGNS AND SYMPTOMS OF MESH EROSIONS? Mesh erosion means the mesh has migrated into a neighboring organ such as urethra, bladder or rectum each organ will have a different presentation.  The most common signs and symptoms are: Urethral Pain/Burning – with mesh urethral erosion. Bladder Pain/Burning – with mesh bladder erosion. Bloody Urine (Hematuria) – can occur with urethral or bladder mesh erosion. Rectal Pain/Burning – can occur with mesh erosion in to the rectum. Rectal Bleed or Bloody Stool– can occur with rectal mesh erosion. Painful intercourse – with any or all of th ..read more

WHAT ARE THE SIGNS AND SYMPTOMS OF PELVIC MESH COMPLICATIONS? When people and surgeons talk about pelvic mesh, they could be speaking about one of many different types of mesh procedures, including TVT slings, TOT slings, single incision slings, sacralcolpopexy, anterior mesh, posterior mesh and vaginal vault mesh.  The symptoms associated with these mesh procedures include: Chronic Pain– is one of the most common & most devastating complications of transvaginal mesh surgery. This can be caused by nerve damage, mesh erosion into neighboring organs such as bladder, urethra, rectum, sma ..read more

WHAT ARE THE SIGNS AND SYMPTOMS OF BLADDER SLING COMPLICATIONS? When people and surgeons talk about bladder slings, they are primarily speaking of slings for the urethra to stop stress urinary incontinence (SUI) or leakage due to cough and sneezing.  The slings most utilized for stopping SUI are the TVT, TOT and single incision slings.  (See below) Complications which can occur after placing the mesh sling include: Chronic Pain– is one of the most common complications of transvaginal mesh surgery. This can be caused by nerve damage, mesh erosion into neighboring organs such as: blad ..read more

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