Transvaginal endoscopic removal of eroded mesh after abdominal sacral colpopexy.

Abstract:

BACKGROUND:Abdominal sacral colpopexy with permanent mesh has become the preferred abdominal technique for correcting posthysterectomy vaginal vault prolapse. Although rare, mesh erosion after sacral colpopexy is often challenging to manage. We report on 3 cases of mesh erosion after abdominal sacral colpopexy managed by transvaginal endoscopic removal of the mesh. CASES:The cases involve patients who underwent an abdominal sacral colpopexy and had vaginal mesh erosions within 3 years of their surgeries. Conservative and traditional transvaginal techniques failed, and the patients continued to complain of vaginal discharge. All patients underwent transvaginal endoscopic removal of the mesh and are cured of their chronic discharges. CONCLUSION:Transvaginal endoscopic removal is an effective, minimally invasive option for removal of eroded mesh after abdominal sacral colpopexy.

journal_name

Obstet Gynecol

authors

Romero AA,Amundsen CL,Weidner AC,Webster GD

doi

10.1097/01.AOG.0000123242.69217.93

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

1040-2

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

pii

103/5/1040

journal_volume

103

pub_type

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