HELP!! REMOVE MESH IN BRAZIL
03/02/2020 at 2:08 am #22072
I write from Brazil, I had a surgery, here in Brazil, of a sports hernia on the left side, in 2014.
I had a right inguinal hernia surgery in 2016.
In both surgeries I used polypropylene mesh.
In 2018 I began to experience autoimmune symptoms, pain, paraesthesias, cognitive problems.
after 1 year of searching various specialists, ruling out various other diseases such as lupus, multiple sclerosis etc. A renowned rheumatologist came to the conclusion that the screens I put on would be triggering the symptoms.
i found a cirirgiao in brazil, he is a friend of Doctor belyanski, he operates the removal of mesh by robotics.
my biggest fear is an injury that causes sexual impotence, what is the real risk of this happening?
I’m 28 years old and I can’t imagine myself without erections
HELP me please.
03/02/2020 at 2:10 am #22073
correcting, I found a surgeon in Brazil …
03/02/2020 at 6:04 am #22075ajm222Participant
all surgeons i have spoken with, including dr. belyansky, have indicated that the area being operated on is not at all close to the nerves involved with sexual function. there should really be no direct risk of impotency or erectile dysfunction with the removal surgery. a small risk of the surgery is potential loss of a testicle, but if you only have mesh on one side then you wouldn’t be at risk of potentially losing both. even with the loss of one testicle, the other can produce enough testosterone for your body.
03/02/2020 at 6:28 am #22076
Thanks for the reply friend.
In fact, I have stitches on both sides of the inguinal region, right and left, so, with the fear of losing both testicles, I was wondering if this would be a real risk or just a very small probability, and if it did. someone known as testicular ischemia.
I would also like to know if that happened would there be hormone replacement treatment?
03/02/2020 at 8:01 am #22078ajm222Participant
dr. belyanksi has never had any of his removal patients lose a testicle yet. dr. towfigh explained that in experienced hands this was a very unlikely thing to happen. just one of those risks they want to make sure people are aware of. so i think with experienced surgeons it is rare or very rare. though i did just see a man on facebook who had his mesh removed by an experienced surgeon that has removed mesh of people here on this forum (Dr. Billings) and he is apparently going to have to have one of his testicles removed. i would think that something that is rare or very rare, would it would be even more rare to have both lost during surgery.
as for hormone therapy, i am sure that is an option. i just don’t know how effective it is.
03/02/2020 at 8:55 am #22082
@brunog what’s important is whether your mesh was placed open or laparoscopically and the type of mesh. If it was openly placed mesh chances are the surgeon will have to cut one of the three nerves in the groin. The ilioinguinal nerve amongst others innervates the base of the male penis and upper scrotum, resection it can lead to erectile disfunction (when the muscle of the base of your penis is numb; denervated, you can’t hold up an erection strong upright) and testicular pain. The genitofemoral nerve innervates the cremasteric reflex, resection of this nerve will lead to lower scrotal pain and the testicle unable to retract up and down from heat, cold, and arousal.
Iliohypogastric nerve innervates internal transverse abdominis muscle aids in core support and digestion in some degree; aide in contraction of colon on passing food through. Tread carefully with mesh removal and weigh your option as removal is no guarantee of pain resolution or even systematic issues. You maybe trading in a problem for another problem or problems, especially with neurectomy.
03/02/2020 at 11:09 am #22090Good intentionsParticipant
Find out more about his relation with Dr. Belyansky. Has he been trained by Dr. Belyansky, or is he just an acquaintance? Is he an expert in mesh removal or just a beginner?
Also, make sure that he knows how to address “sports hernia” problems. Most experts in “sports hernia” do not use mesh. Using mesh to fix your groin problem was probably a mistake. The mesh might be in an unusual place, from what it would be for a normal inguinal hernia.
You’ll probably have no erection problems but the possibility of other complications is still there. Good luck.
03/03/2020 at 1:25 am #22098
hi jerome, thanks for the explanation, my case I tried everything, nothing works, it is affecting my life considerably, my meshes were put on video, do you know someone who had erection problem with a possible neurectomy? or pain problem? the medical logic is that they are sensitive nerves and would not cause pain if they were removed, the main idea is to remove the screen without disturbing the structures.
03/03/2020 at 1:29 am #22099
he already performed the withdrawal is a great name for the country in surgery, it will be due to robotics, I am determined to withdraw because I see no exits, nothing has improved the symptoms, my great fear is an erection problem, chronic pain would be another bad thing, but is there chronic pain after a possible neurectomy?
03/03/2020 at 6:47 am #22100AlephyParticipant
I would think the biggest fear should be chronic pain…not so much sexual dysfunction which I think it is rare…(unless I am told otherwise by more knowledgable people)
03/03/2020 at 10:54 pm #22112
@brunog yes I have spoken to patients who had neurectomies and it affected their ability to be intimate as one would expect normally as a man. I can second this as I have injured these nerves previously, which in my experience was awful and I can’t imagine what it would be like to have these nerves cut. By that extremely weak/painful erection and scrotal /testicular pain. While the ilioinguinal and the genital branch of genitofemoral nerves do not directly innervate the penis. Both branches as they run distally near the base/root of penis and scrotum indirectly serve a sexual function by allowing proper support of an erection and retraction of scrotum. When the groin muscle of the base of your penis is numb from ilioinguinal being resected; denervated, you can’t hold up an erection upright strong like you would normally) and there will also be scrotal pain. The genitofemoral nerve innervates the cremasteric reflex, resection of this nerve will lead to lower scrotal pain and the testicle being unable to retract up and down from heat, cold, and arousal. A normal sexual function relies on multiple functions executing properly, when one function is removed; a variable or a denominator the expected outcome will not be the same unfortunately.
03/04/2020 at 3:00 am #22115
can you give me the contacts of these people? I need to talk to be able to better understand and hear from them how it impacted their sexual functions
03/04/2020 at 3:01 am #22116
03/04/2020 at 3:44 am #22117AlephyParticipant
But then those who had surgrey with a shouldice procedure also suffered a possible sexual disfunction?
03/04/2020 at 9:56 am #22118Good intentionsParticipant
I had problems from the mesh. Removing the mesh solved the problem. The mesh was removed laparoscopically, without robotics.
03/04/2020 at 12:55 pm #22122
@brunog I believe there is a Facebook mesh removal patient group. The success factor of mesh removal really depends on the type of mesh and implantation technique; lap or open. Lap should be removed lap, open should be removed openly. Lastly whether a neurectomy takes places.
Also what your expectation of a successfully surgery is. I think it’s unrealistic to go into a mesh removal surgery expecting to be 100% normal including your sexual functions, both anatomically and physiologically especially if a neurectomy is involved.
@alephy yes you can if a nerve injury takes places during the repair. In a traditional shouldice repair where the cremasteric muscle is resected for further reinforcement of the inguinal floor, the scrotum would dangle to some degree. Would that result in a sexual dysfunction? That’s debatable and would be up to the individual’s interpretation of what is acceptable and tolerable…
I think the resection of the cremasteric muscle and it’s direct and indirect effect on sexual function is far more tolerable and acceptable than the direct and indirect effect on sexual function from a neurectomy of ILN and GFN…
Patients recover and live a good quality of life that includes sexual function with Shoudice repair…
The quality of life with mesh removal with neurectomy or neurectomies is questionable…
03/05/2020 at 10:01 am #22132SurgeryParticipant
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