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Urogynecological Procedures & Surgeries

EvergreenHealth offers a variety of surgical and other procedures to improve pelvic health.

  • Vaginal Mesh Program: We provide appropriate, safe care for women needing vaginal mesh surgery implant, revision or removal to treat incontinence, prolapse and pelvic floor dysfunction.
  • da Vinci® Sacrocolpopexy (Uterine/Vaginal Prolapse Repair): Vaginal prolapse occurs when the network of muscles, ligaments and skin that hold the vagina in its correct anatomical position weaken. This causes the vagina to prolapse (slip or fall) from its normal position. Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken, reducing support for the uterus. The uterus then slips or falls into the vaginal canal.

  • Prolapse Treatment Program: We will educate and guide you on all available treatments for prolapse, taking into consideration your general medical health, activity level, sexual activity, age and preference.
  • Bladder Sling
  • Uterine Sparing
  • Hysterectomy
  • Other Reconstructive Surgeries

Surgical Mesh Update

You may have heard that the FDA has ordered the manufacturers of surgical mesh used for transvaginal repair of anterior compartment prolapse (cystocele) to stop selling their products immediately.

It’s important to note this is not because of reported problems with the mesh, but because the manufacturers have not demonstrated reasonable assurance of safety and effectiveness for these devices. For more information, visit the FDA information page.

We realize you may have some questions about this. If you received transvaginal mesh for the surgical repair of prolapse, please continue with your annual and other routine check-ups and follow-up care. There is no need to take additional action if you are satisfied with your surgery and are not having any complications or symptoms.

If you have complications or symptoms, including persistent vaginal bleeding or discharge, pelvic or groin pain or pain with sex, you should notify your health care provider.

You should also let your health care provider know if you have surgical mesh so it can be entered into your medical record, especially if you plan to have another surgery or other medical procedures.

If you were planning to have mesh placed transvaginally for the repair of prolapse, we will discuss other treatment options with you.

If you have had pelvic organ prolapse surgery but don’t recall if mesh was used, please call our office at (425) 899-5800.

If you have other questions, please call our office at (425) 899-5800.

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