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Martius graft for management of exposed vaginal prolapse mesh.

Abstract：

:Although the use of vaginal mesh kits in treatment of pelvic organ prolapse (POP) has decreased the number of surgical failures, mesh exposure can occur. When conservative management fails, removing the exposed material is associated with the risk of recurrence of POP and could be challenging. We report a successful outcome of treatment of exposed mesh via use of a Martius bulbocavernosus fat pad. A 46-year-old woman had urinary incontinence and POP, which was treated using a vaginal mesh kit and tension-free vaginal tape. At 2 months after the procedure, the mesh was found to be exposed. After failed conservative management, use of a Martius graft was used, with preservation of the mesh. At 2-, 5-, and 10-month follow-up, the patient was completely asymptomatic and continent. This procedure may be a practical alternative in patients with synthetic mesh-induced vaginal erosion after failed conservative management.

journal_name

J Minim Invasive Gynecol

journal_title

Journal of minimally invasive gynecology

authors

Al-Badr A

doi

10.1016/j.jmig.2012.10.007

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

227-9

issue

2

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(12)01303-9

journal_volume

20

pub_type

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