Pure transvaginal removal of eroded mesh and retained foreign body in the bladder.
OBJECTIVE
We present a pure transvaginal approach to the removal of eroded mesh and a retained foreign body involving the bladder secondary to placement of transvaginal mesh for management of pelvic organ prolapse (POP) using a mesh kit.


METHODS
Transvaginal excision of mesh erosion involving the bladder after mesh placement using a prolapse kit was performed. A U-shaped incision was made in the anterior vaginal wall; mesh was identified, divided in the midline, and then dissected from the bladder. Additionally, a retained foreign body was removed from the bladder. The bladder was closed in three layers transvaginally.


RESULTS
Removal of eroded mesh and foreign body within the bladder was completed with all operative steps performed transvaginally. Follow-up cystogram was normal. There were no postoperative complications.


CONCLUSIONS
Transvaginal removal of mesh erosion and retained foreign body involving the bladder is feasible and allows for rapid return to normal function.
Firoozi
Farzeen
F
Glickman Urological and Kidney Institute, Cleveland Clinic, Hillcrest Hospital, Cleveland, OH, USA. farzeenfiroozi@aol.com
Ingber
Michael S
MS
Goldman
Howard B
HB
D000368:Aged; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D019300:Medical Errors; D017060:Patient Satisfaction; D011126:Polypropylenes / Q000009:adverse effects; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D015503:Surgical Sponges / Q000009:adverse effects; D001745:Urinary Bladder Diseases / Q000209:etiology* / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000601:surgery
D011126:Polypropylenes