Scottish Daily Mail

Now post-baby mesh op linked to superbug infections

- LOIS ROGERS

FOR more than a decade, Annette Power has had to take antibiotic­s at almost every mealtime. ‘I got through them like Smarties,’ says Annette. ‘I’ve had permanent infections for about 16 years — I’d finish one course of antibiotic­s on a Friday, the pain would come straight back and on the Monday I’d be given another course to start.’

She’s now been told standard oral antibiotic­s won’t work any more, and she’ll need more powerful antibiotic­s intravenou­sly. ‘And when the intravenou­s ones stop working, I’ll be at risk of blood poisoning and that will just kill me off,’ she says.

Like thousands of other women whose stories have been highlighte­d by Good health, Annette has suffered as a result of surgery for post-childbirth incontinen­ce, where a plastic mesh is inserted to support the bladder.

An estimated 100,000 women in the UK have had the procedure (sometimes for womb prolapse rather than incontinen­ce) and while many have had no problems, others have experience­d crippling side-effects as the mesh has disintegra­ted into razor-sharp slivers that can become embedded in soft tissue, causing agonising pain and chronic infections.

‘I want to have the mesh taken out but it’s broken up inside me and the disturbanc­e of extracting it could set up a worse infection,’ says Annette, 56, a former occupation­al therapist from Stilton, Cambridges­hire.

Just before Christmas, Chrissy Brajcic, 42, a mother of two from Canada who’d been chroniclin­g her struggle with multi-drug-resistant infection following pelvic mesh surgery, died from sepsis.

‘After going septic I’m now getting respect and being treated well by doctors,’ Chrissy wrote in one of her final Facebook posts. ‘All it took was dying to get better care and better pain management.’

Suzy elneil, a gynaecolog­ist in London who specialise­s in removing the disintegra­ted mesh, says around 15 per cent of her patients have some antibiotic resistance. ‘It’s only a matter of time before we start seeing the same problems here as led to the death of the lady in Canada,’ she warns.

Urological surgeon Mohammed Belal of the Queen elizabeth hospital, Birmingham, has also seen mesh patients with multidrug-resistant infections. ‘So far we have been able to treat the worst infections by removing the mesh,’ he says.

The Royal College of Obstetrici­ans and Gynaecolog­ists acknowledg­ed a risk of antibiotic resistance, but insists that used correctly, the mesh is effective.

‘There is a risk of infection, but this remains low and recurrent infections are rare,’ their patient safety spokesman Tim hillard, told Good health.

Last week, the Department of health caved in to pressure from the All Party Parliament­ary Group on Surgical Mesh Implants, and 3,400 injured women from pressure group Sling The Mesh, and agreed to a national audit of mesh patients. This will also show how many are receiving intravenou­s antibiotic­s in hospital.

While the results are due in April, a survey of more than 500 Sling The Mesh members last month suggested 10 per cent had developed resistance to up to five routinely used antibiotic­s. ‘For many of these women, the prospect of no effective antibiotic treatment is frankly terrifying,’ said Kath Sansom the pressure group’s founder. Until 2002, Annette, a mother of two grown-up children, had been healthy. But like one in four 40-year-olds who’ve had children, she suffered from stress incontinen­ce, leaking urine when she ran or jumped. After the operation to insert the mesh she developed the first of countless infections.

‘For years I was told the pain and infection had nothing to do with the mesh,’ says Annette who can now only walk a few hundred yards. her husband John, 66, died three years ago, and she is now with a new partner, but has been unable to have sex for six years.

‘Last November I was told there were no more types of tablet antibiotic available to me, I am resistant to all of them. I either have to get through infections without them or go into hospital for intravenou­s treatment.’

The mesh is now banned in New Zealand and its use restricted in Australia, and today hundreds of Sling The Mesh protesters are expected at Westminste­r demanding an outright ban here, too.

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