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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bladder Prolapse After The Porcine Graft With Sling?

I had a hysterectomy/bladder repair surgery in 2003 for prolapsed uterus/bladder. a porcine graft with sling was used.{Pelvico Accellular Collagen matrix Porcine graft}Within about a year the bladder prolapsed again. The urologist said I should go back to the gynecologist since he believed the sling was not involved. He did not check me. The gynecologist pushed the bladder back into me pelvis. She prescribed a Pissary. This was useless, and it was very uncomfortable. I have been incontinent and have had pain since then. I went to another urologist and after many tests has said I would have to have surgery to put in another sling. The uretha has nerve damage and the muscles are bad. When I asked about where the porcine graft was and why it failed, all he would say was that he didn t do the surgery and that it must have eroded. Could you tell me more about this original surgery and is it one of the bladder slings that were faulty and do I have a legal case. Vickie Myers.
Tue, 27 Jun 2017
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General Surgeon 's  Response
Respected user , hi
Thanks for using Healthcaremagic.com
I have evaluated your query thoroughly .

* Routine use of grafts in pelvic floor constructions is not recommended
unless individual case evaluation with needs , benefits , future problems
& failure rates calculations favor for the same .
* Porcine graft is a type of bio degradable one , has its own limitations for
success due to
- durability
- prion or viral transmission
- residual antigenicity leading to graft versus host reaction .

* Prior to the surgery , surgeon must have to inform patient regarding type
of material he / she is going to use , its advantages , possible side effects
including chances of how much percentage failures with the same , are
there any other better options available than this -- all if not explained
thoroughly & satisfactorily then it becomes a legal case for sure .

Hope this clears your query .
Welcome for further questions .
Regards .
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What Causes Bladder Prolapse After The Porcine Graft With Sling?

Respected user , hi Thanks for using Healthcaremagic.com I have evaluated your query thoroughly . * Routine use of grafts in pelvic floor constructions is not recommended unless individual case evaluation with needs , benefits , future problems & failure rates calculations favor for the same . * Porcine graft is a type of bio degradable one , has its own limitations for success due to - durability - prion or viral transmission - residual antigenicity leading to graft versus host reaction . * Prior to the surgery , surgeon must have to inform patient regarding type of material he / she is going to use , its advantages , possible side effects including chances of how much percentage failures with the same , are there any other better options available than this -- all if not explained thoroughly & satisfactorily then it becomes a legal case for sure . Hope this clears your query . Welcome for further questions . Regards .