title: [Case of rectal migratin of mesh after TVM (tension-free vaginal mesh) operation].
abstract: A 64-year-old woman presented with recto-cutaneous fistula after tension-free vaginal mesh reconstruction using polypropylene mesh for pelvic organ prolapse. Eleven months after the operation, an ulcerative lesion with stools smell secretion developed in the left hip. Magnetic resonance imaging and colonoscopy revealed a migration of the left arm of the mesh and a recto-cutaneous fistula. The patient underwent excision of the infected mesh and rectal wall closure together with transient colostomy. After 8 months, colonoscopy revealed a new migration of the mesh in the rectum, which was also removed. The colostomy was closed one year later and rectal erosion has not reccurred since then. The possibility of developing a rare but severe mesh-related complication as presented here should always be kept in mind.
authors.affiliation: The Department of Urology, Kurashiki Central Hospital.
authors.forename: Rikiya
authors.initials: R
authors.lastname: Taoka
authors.forename: Kei
authors.initials: K
authors.lastname: Mizuno
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsuoka
authors.forename: Yuki
authors.initials: Y
authors.lastname: Kita
authors.forename: Shotaro
authors.initials: S
authors.lastname: Nakanishi
authors.forename: Seiji
authors.initials: S
authors.lastname: Asai
authors.forename: Takeshi
authors.initials: T
authors.lastname: Soda
authors.forename: Koji
authors.initials: K
authors.lastname: Inoue
authors.forename: Akito
authors.initials: A
authors.lastname: Terai
mesh_terms: D003113:Colonoscopy; D003125:Colostomy; D017577:Cutaneous Fistula / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery; D011126:Polypropylenes; D012003:Rectal Fistula / Q000175:diagnosis / Q000209:etiology*; D013526:Surgical Mesh / Q000009:adverse effects*
chemical_list: D011126:Polypropylenes