Osteomyelitis secondary to sacral colpopexy mesh erosion requiring laminectomy.
BACKGROUND
Severe infectious morbidity associated with the use of synthetic mesh and abdominal sacral colpopexy is rare. Pelvic abscess, sinus tract formation, enterovaginal fistula, and osteomyelitis have been reported.


METHODS
This case involves a patient who presented with staphylococcal bacteremia and vaginal erosion of a sacral colpopexy synthetic mesh. Despite prolonged courses of intravenous antibiotics and complete removal of the mesh material, she developed osteomyelitis. Progressive neurologic symptoms required a decompression laminectomy to facilitate a complete recovery and resolution of symptoms.


CONCLUSIONS
In the treatment of abdominal sacral colpopexy mesh erosion, we recommend maintaining a high index of suspicion for secondary infections.
Taylor
G Bernard
GB
Atlanta Urogynecology Associates, Alpharetta, Georgia 30005, USA. Taylor704g@aol.com
Moore
Robert D
RD
Miklos
John R
JR
D016470:Bacteremia / Q000209:etiology*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007796:Laminectomy; D008875:Middle Aged; D010019:Osteomyelitis / Q000382:microbiology* / Q000601:surgery*; D012447:Sacrum; D013203:Staphylococcal Infections / Q000209:etiology*; D013526:Surgical Mesh / Q000009:adverse effects*