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Website: https://www.tvm.lifecare123.com/puden... Symptoms of adverse events caused by synthetic mesh sling implantation can occur immediately after surgery or years later. When implanted, the devices cause scar tissue. Over time, studies show that the mesh can shrink up to 30%, leading to traction on adjacent structures including muscles and nerves, causing muscle and nerve pain. Particularly impacted by the mesh shrinkage are the clitoral nerve, the rectal nerve, the pudendal nerve and the obturator nerve. “Not all women develop pain immediately after mesh and that is perfectly explainable because the mesh shrinks. You will see that maybe it doesn't pull on the muscle immediately after the placement. It may pull on it a few years later.” -Michael Hibner, M.D. Pelvic Pain Specialist