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 language | English |
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Pages (from-to) | 1273-1274 |
Number of pages | 2 |
Journal | Archives of Gynecology and Obstetrics |
Volume | 290 |
Issue number | 6 |
DOIs | |
Publication status | Published - 2014 |
Keywords
- Complications
- Cystocele
- Obturator space
- Vaginal mesh
- Vaginal surgery
ASJC Scopus subject areas
- Obstetrics and Gynaecology
- Medicine(all)