The patient's attorney alleged a deficiency against the device resulting in an unspecified adverse outcome.Product was used for therapeutic treatment.Patient underwent mesh implant surgery for uterine prolapse, cystocele, rectocele.Procedure (s) performed were total vaginal hysterectomy and anterior and posterior repair.Patient experienced symptomatic rectocele, bulge in the vagina still having trouble with bulging from 2004 to 2007 and planned for posterior repair doing posterior repair and placement of avaulta.Complications post additional avaulta posterior mesh placement are in 2007 patient had frequent urination, burning during urination, urgency, dysuria, urinary tract infection, red brown stool, bladder infection better and epigastric pressure.In, 2008 - 2009: bulge in her vagina when she moves her bowels, on pelvic exam there is an enterocele and 1 degree cystocele.Rectocele has been completely obliterated.She also reported dysuria, frequency, urgency, hematuria, burning on urination and urinary tract infection.Complications post revision surgery from 2009 -2011 ecchymosis was noted around the colostomy region, bloody drainage, abdominal cramping, having green and brown sputum, constipation, burning when urinating, dysuria, urinary tract infection - the flexible sigmoidoscopy examination and put in a lot of air and none of that came into the vagina - the vaginal area does reveal some structuring - guarding in the rectal ampulla towards the vagina ¿ underwent colostomy on (b)(6) 2009 - xr barium enema complete on (b)(6) 2009 shows numerous diverticula throughout the sigmoid colon.Contrast material extends to mid transverse colon and on lateral view shows contrast communicating with ostomy and into the patient¿s ostomy bag.Tract contrast seen just below the suture line and it is uncertain whether th is portion of the colon was intentionally attached the ostomy and/or there has been development of interval fistulous tract to the ostomy - prescribed antibiotics.In, 2011 patient has difficulty in holding back flatus frequently at least more than once a week.On anorectal examination reveals small internal and external hemorrhoids.In 2012: patient has difficulty in holding back flatus frequently at least more than once a week - benign colon polyp.Planned for colonoscopy, possible biopsy or polypectomy.In, 2013: colonoscopy shows severe diverticulosis on sigmoid, poor sphincter tone and small hemorrhoids in rectum and anal canal.In, 2014: patient has benign polyp of colon.The flexible sigmoidoscopy examination reveals significant diverticulosis with some narrowing and fixation.Patient reassured.Continue the treatment plan.Follow-up in 1 year.
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