(b)(4).Physician relayed to rep that she has concerns about her mesh exposure rate from using t-sling as a retro-pubic sling over the past 2 years.She has documented 4 exposures of mesh which she says is "in the 8%" area of total mesh sling cases which she feels is too high.She has also noticed "too much palpability" of the t sling even without exposures.Although she is aware that the mesh density of t sling is actually a bit less than most other slings, she feels that the t sling mesh is "stiffer" and that may have something to do with these exposures.She says she rarely can get the entire width of the sling to be flat, where one of the two edges of the sling "ramp up" a bit.She hydrodissects and closes all incisions herself.She says none of these patients had any tissue complications which made her think a mesh sling wouldn't work well.In all the exposure cases, the patients were effectively treated with either in-clinic excision of exposed mesh, re-closure of wound, estrogen cream, etc and that all have been fine after secondary treatment.All four patients initially claimed palpability, dyspareunia, or irritation.
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