title: Abdominal sacral colpopexy mesh erosion resulting in a sinus tract formation and sacral abscess.
abstract: 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.
authors.affiliation: Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia, USA. shart@gwinnett-gyn.com
authors.forename: Stuart R
authors.initials: SR
authors.lastname: Hart
authors.forename: Edward B
authors.initials: EB
authors.lastname: Weiser
mesh_terms: 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*
chemical_list: D011138:Polytetrafluoroethylene