Vesicovaginal fistula and mesh erosion after Perigee (transobturator polypropylene mesh anterior repair).
The transobturator polypropylene mesh system is a new approach in the surgical treatment of anterior vaginal wall prolapse. We report the case of a 57-year-old woman who developed a vesicovaginal fistula with erosion of the mesh into the bladder and vagina after Perigee transobturator, polypropylene mesh anterior repair. This is a serious complication associated with this technique. Treatment required an open vesicovaginal fistula repair with excision of the exposed and nearby surrounding mesh.
Yamada
Brian S
BS
Virginia Mason Medical Center, Seattle, Washington 98101, USA. brian.yamada@vmmc.org
Govier
Fred E
FE
Stefanovic
Ksenija B
KB
Kobashi
Kathleen C
KC
D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000601:surgery
D011126:Polypropylenes