Abdominal sacral colpopexy mesh erosion resulting in a sinus tract formation and sacral abscess.
BACKGROUND
Complications associated with the use of synthetic mesh during an abdominal sacral colpopexy procedure include mesh infection and erosion into the vaginal vault and sacral osteomyelitis.


METHODS
This case report describes the management of an abdominal sacral colpopexy procedure that was complicated by postoperative vaginal mesh erosion, formation of a fistulous tract from the vaginal apex to the sacrum, and development of diskitis, osteomyelitis, and a sacral abscess.


CONCLUSIONS
Treatment of a vaginal mesh erosion complicated by the formation of a sinus tract after abdominal sacral colpopexy should include extensive sinus tract resection in addition to complete mesh removal.
Hart
Stuart R
SR
Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia, USA. shart@gwinnett-gyn.com
Weiser
Edward B
EB
D000005:Abdomen; D000038:Abscess / Q000209:etiology*; D000328:Adult; D015299:Discitis / Q000209:etiology; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010019:Osteomyelitis / Q000209:etiology; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000209:etiology*; D012447:Sacrum; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000601:surgery; D014624:Vaginal Fistula / Q000209:etiology*
D011138:Polytetrafluoroethylene