When mesh causes pain does it start right away?

Yes. When mesh causes chronic pain it can start right away. But patients can be pain free for many years after mesh hernia surgery then for no apparent reason develop mesh pain. The temporal history of chronic pain after mesh hernia surgery has no bearing on the diagnosis. You cannot say it is not the mesh because the onset of pain does not fit the typical pattern. There is no typical pattern except that the pain did not exist before the mesh was implanted.

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