Dyspareunia and chronic pelvic pain after polypropylene mesh augmentation for transvaginal repair of anterior vaginal wall prolapse.
Synthetic mesh augmentations for pelvic floor reconstructive surgeries are increasing in usage and popularity. Many studies are focusing on the anatomical success rates of transvaginal anterior compartment repairs with synthetic mesh, with minimal attention on its postoperative complications. We present a case report on a 59-year-old postmenopausal woman who underwent an anterior repair with 6x4-cm polypropylene mesh. Postoperatively, she developed severe dyspareunia and debilitating chronic pelvic pain. The patient failed conservative medical therapy and now requests complete removal of the synthetic mesh.
Lin
Lawrence L
LL
Division of Female Pelvic Medicine and Reconstructive Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA. Longyuob@yahoo.com
Haessler
Alexandra L
AL
Ho
Matt H
MH
Betson
Lance H
LH
Alinsod
Red M
RM
Bhatia
Narender N
NN
D052858:Cystocele / Q000601:surgery; D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology*; D011126:Polypropylenes / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery
D011126:Polypropylenes