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

1 Citation (Scopus)

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

Fingerprint

Polypropylenes
Arm
Perineum
Defecation
Rectum
Hemorrhage
Pain

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Urology

Cite this

Rectal mesh erosion after posterior vaginal kit repair. / Campagna, Giuseppe; Panico, Giovanni; Caramazza, Daniela; Marturano, Monia; Ercoli, Alfredo; Scambia, Giovanni; Cervigni, Mauro.

In: International Urogynecology Journal, 01.01.2018.

Research output: Contribution to journalArticle

Campagna, Giuseppe ; Panico, Giovanni ; Caramazza, Daniela ; Marturano, Monia ; Ercoli, Alfredo ; Scambia, Giovanni ; Cervigni, Mauro. / Rectal mesh erosion after posterior vaginal kit repair. In: International Urogynecology Journal. 2018.
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AU - Scambia, Giovanni

AU - Cervigni, Mauro

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