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Mesh implant claims

TVT or TVTO mesh surgery for stress urinary incontinence

The use of transvaginal tape (TVT or TVTO) for treatment of stress urinary incontinence was considered to be a simple, less invasive method of helping women with this troublesome and sometimes embarrassing condition.

However significant complications have been reported including bleeding, urethral or bladder injury, urethral or bladder mesh erosion, organ perforation, vaginal extrusion of mesh, urinary tract infection, chronic pain, urinary urgency and bladder outlet obstruction.

Women often did not receive sufficient information from their treating surgeons before undergoing mesh treatment.

Some women have been left with long term complications, unable to work, unable to enjoy social and leisure activities. They have been unable to have sexual intercourse and in very severe cases have been unable to walk. Studies suggest that as many as one in 10 women have suffered serious complications.

Amid safety concerns, the use of TVT and TVTO was halted across the UK in 2018.

However, many women have highlighted the fact that they were not advised about the alternative forms of treatment for their stress urinary incontinence, about the conservative methods of treatment and safer alternative surgical options. Women were not given the choice between TVT surgery which involves making two small incisions in the abdomen or the use of TVTO surgery which involved making two small incisions in the groin (this type of surgery carried an increased risk of chronic groin and leg pain).

TVM mesh surgery for pelvic organ prolapse

The use of transvaginal mesh (TVM) surgery to help repair pelvic organ prolapse (POP) became popular due to its simple, less invasive implantation technique. However, it appears that there are serious problems with TVM surgery which has resulted in further injury to many women. Complications include chronic pain, bleeding, nerve damage, infections, painful sexual intercourse, mesh erosion and organ perforation.

Since December 2017 the National Institute for Health and Care Excellence (NICE) recommends that mesh should only be used for the treatment of pelvic organ prolapse under research circumstances. This effectively imposes a ban on the use of transvaginal mesh.

Claims are being pursued against the NHS trusts who were responsible for the mesh treatment. The allegations are of clinical negligence in the trusts’ failure to provide sufficient information to enable women to give fully informed consent to mesh treatment. Had women been told about the potential risks associated with mesh, advised fully and been given a choice, they would have opted for a safer alternative treatment.

The Independent Medicines and Medical Devices Safety Review, chaired by Baroness Julia Cumberlege, published its report in 2020, titled “First Do No Harm”. The report made several recommendations to the government to provide redress for those who had suffered injury and for measures to prevent a repeat. One of her recommendations was to appoint a Patient Safety Commissioner. Dr Henrietta Hughes was appointed in this role in 2022. Her report “The Hughes Report” was published on 6 February 2024. The report has gone to the government recommending the creation of a redress scheme to help those affected. It is not yet known whether the government will accept any of the recommendations and if they do, how long it will take before victims receive any help or redress.

Key contact

Pauline Roberts

Senior Associate

Pauline Roberts has over 32 years’ experience of multi-party litigation relating to medical devices, implants and pharmaceuticals. She has also acted on behalf of claimants in all aspects of health care claims. Representing adults, children and claimants without capacity.  Handling claims of moderate value up to claims involving multi-million pound damages.

How we can help

Our specialist harmful product solicitors will be able to help and support you when making a claim for compensation. We have worked with many women who have suffered injury due to TVT or TVTO or TVM surgery and have the skills, knowledge, and experience to get you the best level of compensation for your claim.

We make claiming compensation straightforward. We offer free advice and guidance when investigating your claim, without obligation. We are available to meet with you face to face, via video calls or to discuss matters over the phone. We also offer no win, no fee services – meaning that if your claim is unsuccessful, we won’t charge you a penny.

Our harmful products team has extensive experience in pursuing and winning mesh claims. If you have suffered as a result of receiving a transvaginal tape implant, we can take you through the process of making a claim for compensation. In addition to your pain and suffering, you could be entitled to your out-of-pocket expenses incurred in seeking treatment, time off work and care needs. For more information or to find out if you are eligible to claim, get in touch using the phone or envelope icons on this page, or using the contact form at the bottom of the page.

Your questions answered

The vast majority of cases are funded on a no win, no fee basis, also known as Conditional Fee Agreements (CFAs). This means that if your case is unsuccessful, you will not have to pay anything. We will only take on your case if, after assessing your claim, we decide that there is a reasonable chance of success. Our initial consultation is free, so you won’t pay a penny if we don’t accept your case.

We can offer you a free no obligation consultation with one of our specialist lawyers to discuss whether you can make a claim. We can provide a clear explanation of the claims process and the various options open to you.

If it is established that you have received a defective product, we can investigate the extent of your injury caused by the mesh.

Whilst the majority of personal injury claims are settled out of court, it is possible that your case may ultimately be decided in court. We always need to consider what a judge would decide if your case did go to court.

Court proceedings have to be started within three years of the patient knowing that their symptoms (even if they had experienced them for a considerable time) were attributable to the mesh implant. If court proceedings are not issued within this period then the Defendant can use this as a defence to the claim.

Next steps

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