Vaginal pain caused by laparoscopic colposuspension with tacks.
BACKGROUND
Laparoscopic colposuspension is a popular surgical procedure for stress incontinence. To simplify the laparoscopic approach, many physicians have replaced laparoscopic suturing with mesh, secured with staples or tacks.


METHODS
Two women developed severe, shooting vaginal pain after laparoscopic colposuspension with mesh and tacks. The tacks could be palpated vaginally in both, reproducing the pain. Tack removal relieved their pain, but one had recurrent cystocele.


CONCLUSIONS
Laparoscopic colposuspension with tacks might produce shooting vaginal pain, possibly unique to tacks versus staples or sutures.
Newcomer
J
J
Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. newcomer@mcw.edu
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010146:Pain / Q000209:etiology*; D013526:Surgical Mesh; D013536:Suture Techniques / Q000009:adverse effects*; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014623:Vaginal Diseases / Q000209:etiology*