title: Pure transvaginal removal of eroded mesh and retained foreign body in the bladder.
abstract: 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.
authors.affiliation: Glickman Urological and Kidney Institute, Cleveland Clinic, Hillcrest Hospital, Cleveland, OH, USA. farzeenfiroozi@aol.com
authors.forename: Farzeen
authors.initials: F
authors.lastname: Firoozi
authors.forename: Michael S
authors.initials: MS
authors.lastname: Ingber
authors.forename: Howard B
authors.initials: HB
authors.lastname: Goldman
mesh_terms: 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
chemical_list: D011126:Polypropylenes