When Sherise Grant filed a claim against the manufacturer of her pelvic mesh implant, she hoped to use the money from a settlement to pay for its removal.

Ms. Grant, 51, was among the millions of women around the globe whose urinary problems were treated with pelvic mesh. But not only has the surgically implanted device done little to help her, it frequently causes Ms. Grant discomfort, including pain during sex with her husband.

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“Never in the field of mass tort litigation has there been such a yawning gap between success in the courtroom and failure at the settlement table,” said Shanin Specter, whose Philadelphia firm, Kline & Specter, has won more than $140 million in jury verdicts in mesh cases.

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Mr. Specter said he had settled about 1,500 cases at an average of $75,000, and estimated the average settlement reached in the federal court cases was closer to $40,000.