Transrectal mesh erosion remote from sacrocolpopexy: management and comment.
Sacrocolpopexy is an effective treatment for advanced pelvic organ prolapse with predictable anatomic and functional outcomes. We describe a rare complication of mesh erosion into the rectum and subsequent multidisciplinary management. Multidisciplinary, experienced subspecialty care can address difficult complications of pelvic floor surgery with a minimally invasive approach.
Department of Obstetrics and Gynecology, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA. Malcolm.A.Paine@Hitchcock.org
Malcolm
M
Paine
Jeffrey R
JR
Harnsberger
James L
JL
Whiteside
D003113:Colonoscopy / Q000379:methods; D003127:Colposcopy / Q000379:methods; D020878:Device Removal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D017773:Pelvic Floor / Q000601:surgery; D056887:Pelvic Organ Prolapse / Q000175:diagnosis / Q000601:surgery*; D011475:Prosthesis Failure; D012007:Rectum / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome; D013519:Urogenital Surgical Procedures / Q000009:adverse effects* / Q000379:methods