Non Mesh Doctors

In my endeavor to help the women of the world who have not yet had mesh placed into their bodies it is time to reach out to mesh injured women and others and ask if they know any doctor who will repair women without mesh and have the skills to do it. This is not going to be easy and the list of doctors is short at the present time. I am sure it will remain a short list until more doctors say outright they will NO LONGER use mesh and have taken training to change what they have been doing. I also want only doctors who will NOT coerce women into believing mesh is the answer and they have a new one that is far superior and won’t cause their complications. The truth is THERE IS NO SUCH THING! Mesh is mesh and it is a foreign implant! It is causing many complications and at the bottom of this blog I will give you a link where you can read more.

California – UCLA world renowned

Honestly except for Dr. Raz and Dr. Kim at UCLA who do no mesh repairs, I really thought it was going to be like searching for a needle in a haystack to find any more doctors in this country, let alone any overseas. I do know some countries do not even use mesh at all so they must have surgeons who continue to educate younger doctors coming into the arena as old doctor’s age out. I know you have heard the saying “You can’t take it with you when you go”. So it is imperative that doctors with the knowledge to fix women without the use of mesh step up and train younger or less experienced doctors. It is up to them to set forth the pattern of change before medical mesh capsizes the lives of so many women that the world will finally take notice. So it is with this in mind I was so happy to read something on a recent government post. In fact I wanted to jump for joy when my daughter pointed it out to me.

Louisiana – Dr. Antonio R. Pizarro

To Whom It May Concern:

I am Board Certified in Gynecology & in Female Pelvic Medicine & Reconstructive Surgery. I support the FDA proposed rule. In addition, I assert that we should cease the use of foreign grafts to treat pelvic prolapse. There is no conclusive evidence that mesh for repair of prolapse improves outcomes. I feel we must go beyond the American Urogynecologic Society (AUGS) Informed Consent Toolkit in this regard.(1) I submitted input to that effect when public comments were requested during creation of the Toolkit.

The FDA’s 2011 “UPDATE On Serious Complications” of mesh for use in pelvic prolapse repair defines mesh as, “synthetic material or absorbable biologic material.”(2) This is a useful working definition & requires us to avoid distinctions between synthetic & biological implants for the purposes of this letter & in the care of our patients.

In plain terms, it’s time to give up on this failed attempt to create a simple shortcut to the performance of what is truly complex surgery in the care of women. Prolapse is a complex condition. Recurrence after treatment is common. The surgeries are hard to perform. If we face these realities, explain them to our patients, & stop using mesh implants that add nothing proven in the care of women, our patients & our specialty will benefit greatly.

Recommendations have been issued by some professional societies that this extremely problematic and unneeded material be considered for use only in surgeries to treat high-risk patients affected by prolapse.(3) The proposed definition of such patients includes those prone to recurrent disease, those suffering from recurrence, and those possessing comorbidities for whom “more invasive” procedures are not medically acceptable.

I maintain that these recommendations are misguided and illogical. If a patient is obese, medically compromised, prone to recurrence, and/or has suffered recurrence, one assumes that she is predisposed at least to infection, organ injury and poor healing. How can placing mesh solve those problems and add benefit to the care of this patient? It seems that instead mesh placement will only worsen her care. Should not a clearly evidence-based benefit for the use of mesh in such patients exist before suggesting its use?

Is there any justification to use mesh? I submit to you that there is not. We should instead emphasize two things: 1) the study and performance of nonsurgical treatment of prolapse whenever it is appropriate; 2) the study & performance of native tissue repair in all clinical scenarios (primary & recurrent repair) when surgery is appropriate & elected by the patient.

We should pay careful attention to the important comparisons between mesh repair & native tissue repairs cited in the ACOG-AUGS Joint Recommendations. This document clearly pointed out that the data used previously to justify the use of mesh were misinterpreted. It clarifies that the relevant studies “used definitions of success that may have been too stringent.”

Why should we use mesh? Why risk the complications? I can’t think of a patient among the hundreds for whom I have not used mesh for whom I later wished I had used mesh. I’m sure many women across the nation wish mesh had not been used in their care.

Surgical treatment of pelvic prolapse in women is and always has been a complex challenge for which attainment of cure has eluded many experts. We must approach this challenge with modesty and with a clear understanding of the limitations posed by this daunting condition. We must at the same time protect the health of women who suffer from pelvic prolapse. I believe that this will be attained in part if we as surgeons stop the use of all mesh for prolapse repair.

Until we can prove that the benefits of mesh repair over non-mesh repair outweigh its significant risks, we should abandon the use of these problematic materials in the care of women with prolapse. There exists a danger that if the FDA does not ban mesh, surgeons will continue to rationalize the available data and obfuscate the plain reality facing us as surgeons—that mesh provides no proven advantage to women suffering from prolapse over repairs not using mesh. This obfuscation will lead to the continued use of mesh if we allow it to do so.

Sincerely,
Antonio R. Pizarro, M.D. Shreveport, Louisiana

Who is this man? I am not endorsing him because I don’t know anything but what I read, so my advice from now on ladies should interview any doctor and make a decision based on your gut feeling. You can read about Dr. Pizarro and decide for yourself.  There is also a map
showing his location which backs onto three States. Texas, Louisiana and Arkansas.

New York – Dr. Jerry G. Blaivas

Last night my daughter found this article about Dr. Blaivas in New York.  You can read all about him on his site.

Dr. Blaivas is an internationally renowned urologist with over thirty years of clinical experience. He is, as well, an acclaimed academician, educator, writer and editor with an unimpeachable reputation for honesty and compassion. His clinical expertise ranges from office urology to the most complicated and difficult surgical problems. Known as a “doctor’s doctor,” he is considered the “doctor of last resort” by patients and doctors alike when they experience multiple failed treatments.

England – Dr. Barrington

I found out about this doctor through one of my sisters in England. She has worried about all that has happened to me because of mesh and when she spoke to a longtime friend, she found out she was just about to have her bladder lifted. That kicked my sister into gear and she called her worried they would put mesh into her. The friend said the doctor she was using spoke about mesh and told her it is rare to need to use it in any woman and he was sure hers would be done without it. So she went through the surgery with no mesh involved. In a few weeks she was dancing celebrating her fiftieth birthday. This doctor works for the National Health in England so I cannot find adverts, fancy sites or anything about him telling what he does. So all I can give you is his name and you can go from there. He is Dr. Barrington location in Devonshire. He must be doing surgeries in this hospital and you can contact them. Torbay Hospital information.

Australia – Dr. Helen O’Connell

This is what I read about this woman.

“Throughout my childhood and adolescence, as mothers do, mine would fuss over my hands. “You will do something great with those hands”. My natural love for problem solving and the need to try to satisfy Mum’s inspiration found a home in a career in surgery, Urological surgery. I had experienced successful squint surgery as a toddler in the early 1960s. It set up the belief that surgery had the power to transform or cure. Giving up glasses was good even as a 2 year old.

The attraction to Urology: firstly it was intriguing to know almost nothing about an area after 6 years of medical study. What were they keeping secret? I liked the type and range of surgery used – cystoscopic, ureteroscopic, nephroscopic, open abdominal and perineal. As a young woman choosing a career, in the Urology clinics I was given encouragement for being female, patients not all women, saying they were happy to be treated by a lady doctor.

My favourite work is the actual operating. I feel at home with a team of highly skilled individuals doing something that is likely to make someone’s life better, easier or cured. I am lucky to have great help in the home, with the kids, with the running of the practice. The help enables me to have some time for me.”

This is Dr. Helen O’Connell you can watch her YouTube videos.

More to Come

I truly hope the list will grow much longer given time, so that many women will have access to non-mesh surgeries, but I need your help to give these doctors names and locations. It is important that you know how they feel about mesh before you give them to me. Women will be extremely uncomfortable if they know that the doctor is pro mesh. It doesn’t make them a bad doctor, but it makes them swayed and they will more than likely try to sway the woman the mesh direction. I don’t want any more women hurt by mesh.

If you wonder about the informed consent toolkit read about it here

If you want to read about the dangers of mesh, read here

To read about non mesh female treatments and surgeries read here

This is the link with all comments to the government to ask about change

The purpose for this blog is to ask women all around the world if you know of a doctor who will fix women without the use of mesh, please leave a comment and I will add them to the list. The list is at the top of this screen under Non Mesh doctors. Right now the list is short, but I hope it will grow with time.  Go to the list hereit will continue to be updated as we hear about more doctors who can do no mesh repairs.

2 Comments

  1. Sabrina

    Dr. Pizarro must have a double standard or believe as others mesh is okay for SUI. “One of the most commonly performed and most effective surgeries for treatment of urinary incontinence (leakage of urine) is called the urethral sling…. The urethral sling was first introduced in 1907. Modern techniques are based on that procedure. They involve placing a thin strip of fine woven plastic material under the urethra (the opening of the bladder), which has lost its normal support in patients with stress incontinence. This material helps to hold up the urethra during straining, coughing, etc. This allows the patient to stay dry.” http://www.pizarromd.com/index.asp?pgid=35

    Reply
    1. lavalinda

      Sabrina thank you for pointing that out and that is why I say women had better interview doctors and if there are any warning signs, run!

      Reply

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