Transvaginal endoscopic removal of eroded mesh after abdominal sacral colpopexy.
BACKGROUND
Abdominal sacral colpopexy with permanent mesh has become the preferred abdominal technique for correcting posthysterectomy vaginal vault prolapse. Although rare, mesh erosion after sacral colpopexy is often challenging to manage. We report on 3 cases of mesh erosion after abdominal sacral colpopexy managed by transvaginal endoscopic removal of the mesh.


METHODS
The cases involve patients who underwent an abdominal sacral colpopexy and had vaginal mesh erosions within 3 years of their surgeries. Conservative and traditional transvaginal techniques failed, and the patients continued to complain of vaginal discharge. All patients underwent transvaginal endoscopic removal of the mesh and are cured of their chronic discharges.


CONCLUSIONS
Transvaginal endoscopic removal is an effective, minimally invasive option for removal of eroded mesh after abdominal sacral colpopexy.
Romero
Audrey A
AA
Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina 27710, USA. romer005@mc.duke.edu
Amundsen
Cindy L
CL
Weidner
Alison C
AC
Webster
George D
GD
D000005:Abdomen; D000328:Adult; D000368:Aged; D003127:Colposcopy; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D012447:Sacrum; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000601:surgery; D014623:Vaginal Diseases / Q000209:etiology* / Q000601:surgery*