Rectal erosion of synthetic mesh used in posterior colporrhaphy requiring surgical removal

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Treatment of pelvic organ prolapse with transvaginally placed synthetic mesh has recently increased. Several reports of complications have surfaced raising the overall question of safety regarding its use for vaginal prolapse repair. This case report describes a rectal erosion and dyspareunia that resulted from mesh placed into the posterior vaginal wall. A 47-year-old woman underwent a laparoscopic supracervical hysterectomy and a posterior repair with polypropylene mesh resulting in a rectal erosion. Despite removal of all of the mesh that could be excised rectally resulting in a healed rectal mucosa, the patient had persistent dyspareunia and pain requiring complete removal of the mesh using a vaginal approach. After surgery, the patient had resolution of all her symptoms. Further studies of transvaginally placed synthetic mesh need to be performed to determine its safety and efficacy.

Original languageEnglish (US)
Pages (from-to)1499-1501
Number of pages3
JournalInternational Urogynecology Journal
Volume18
Issue number12
DOIs
StatePublished - Dec 2007

Keywords

  • Dyspareunia
  • Erosion
  • Posterior repair
  • Prolapse
  • Rectocele
  • Synthetic mesh

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

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