Multiple perineal abscesses and sinus tracts as a complication of vaginal mesh.
Understanding the occurrence and management of mesh kit complications has become increasingly important. A 54-year-old woman presented to our tertiary care center with complaints of constant perineal pain, and copious, foul-smelling vaginal discharge after anterior and posterior placement of a synthetic mesh and mid-urethral sling 3 months earlier. She was found to have two vaginocutaneous sinus tracts (to the left ischiorectal fossa and to the left labia majora), as well as bilateral abscess cavities within the ischiorectal fossae. The posterior mesh was completely excised, the tracts were opened, and the wound was packed and allowed to heal by secondary intention.
Lewicky-Gaupp
Christina
C
Department of Obstetrics and Gynecology, Division of Gynecology, Pelvic Floor Research Group, University of Michigan Medical School, Ann Arbor, MI, USA. clewicky@med.umich.edu
McGuire
Edward J
EJ
Fenner
Dee E
DE
D000038:Abscess / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010502:Perineum; D053825:Suburethral Slings; D013526:Surgical Mesh / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery; D014623:Vaginal Diseases / Q000209:etiology*