Rectal mesh erosion after posterior vaginal kit repair

Giuseppe Campagna, Giovanni Panico, Daniela Caramazza, Monia Marturano, Alfredo Ercoli, Giovanni Scambia, Mauro Cervigni

Research output: Contribution to journalArticle

Abstract

Introduction and hypothesis: The present video shows a rare case of erosion through the full rectal wall into the rectum after a transperineal implant of a double-arm polypropylene kit. Methods: A 70-year-old woman underwent a transperineal implant of a double-arm polypropylene kit. One year after surgery, she developed bothersome symptoms in the posterior perineum including heaviness, pain and rectal bleeding during defecation. A clinical examination showed the presence of a part of the prothesis traversing the rectal cavity. A minimally invasive transanal approach was performed to remove the mesh and restore the rectal integrity. Results: This surgical technique demonstrates rectal mesh removal with a transanal approach. Conclusions: To our knowledge, this is a rare complication of rectal erosion of a posterior transperineal mesh kit. The aim of this video is to show a complete transanal approach to treating this serious complication avoiding the more invasive and traumatic abdominal procedure.

Original languageEnglish
JournalInternational Urogynecology Journal
DOIs
Publication statusAccepted/In press - Jan 1 2018

Keywords

  • Pelvic organ prolapse
  • Rectal mesh erosion
  • Transanal approach
  • Vaginal kit

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Urology

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    Campagna, G., Panico, G., Caramazza, D., Marturano, M., Ercoli, A., Scambia, G., & Cervigni, M. (Accepted/In press). Rectal mesh erosion after posterior vaginal kit repair. International Urogynecology Journal. https://doi.org/10.1007/s00192-018-3782-4