An unusual long-term complication of transobturator polypropylene mesh

Andrea Sartore, Floriana Zennaro, Rubina Banco

Research output: Contribution to journalArticle

Abstract

Serious complications associated with surgical mesh for transvaginal repair of POP, as infections, vaginal mesh exposure, painful mesh shrinkage and dyspareunia, are not rare. A 48-year-old woman underwent the Perigee procedure because of a stage 3 anterior wall prolapse. Eleven months after surgery, the patient became suddenly unable to walk because of a strong pain to the left thigh root after running. The MRI revealed an external obturator left muscle hyperintensity consistent with muscular oedema; the patient was treated with oral corticosteroids with a complete resolution of the pain. We could hypothesize that the posterior arm of the mesh caused a laceration of the muscles of the obturator space with consequent oedema and pain. The use of the meshes in prolapse surgery can cause unexpected long-term complications.

Original languageEnglish
Pages (from-to)1273-1274
Number of pages2
JournalArchives of Gynecology and Obstetrics
Volume290
Issue number6
DOIs
Publication statusPublished - 2014

Keywords

  • Complications
  • Cystocele
  • Obturator space
  • Vaginal mesh
  • Vaginal surgery

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Medicine(all)

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