What are the safety concerns about use of surgical mesh?

Each use of mesh carries its own risks and benefits.

Use of surgical mesh through the vagina to treat pelvic organ prolapse is linked to higher rates of mesh-related problems. These problems include mesh poking through the vaginal wall, pelvic pain and pain during sex. If you've had this type of surgery, keep up with your routine care. This type of procedure isn't done anymore in the U.S.

When mesh is used for stress urinary incontinence or for prolapse repairs, there's a small chance that other problems could happen. The mesh may stick out through the surgery cut and into the vaginal canal. This is called a mesh exposure or erosion. Most people with erosion don't have symptoms. Those who do get symptoms say they have spotting, discharge or partner discomfort during sex. Serious problems are rare.

If you have mesh-related problems after your surgery, you may need another surgery to remove the mesh. Or you may get better after using a special vaginal cream that your health care provider can give you. A procedure to cut off an exposed piece of mesh also may help you get better.