title: Mesh extrusion through the internal cervical os: an unusual complication following laparoscopic sacrocervicopexy.
abstract: Mesh extrusion or exposure is a known complication of procedures using synthetic mesh for vaginal vault and pelvic organ suspension. Preservation of the uterine cervix is thought to be protective against such complications, as the well-vascularized in situ cervix provides an added barrier between the mesh and the colpotomy incision, limiting potential exposure to the vaginal flora. We describe a case of a 55-year-old multipara, who presented with vaginal discharge following a supracervical hysterectomy with sacrocervicopexy and was found to have a delayed mesh extrusion though the endocervical os.
authors: Department of Obstetrics, Brigham and Women's Hospital, Boston, MA, USA. janelle.moulder@gmail.com
authors: Janelle K
authors: JK
authors: Moulder
authors: Sarah L
authors: SL
authors: Cohen
authors: Abraham N
authors: AN
authors: Morse
authors: Jon I
authors: JI
authors: Einarsson
mesh_terms: D002584:Cervix Uteri / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery; D011475:Prosthesis Failure / Q000009:adverse effects*; D012447:Sacrum / Q000601:surgery; D013526:Surgical Mesh / Q000009:adverse effects*; D002577:Uterine Cervical Diseases / Q000209:etiology* / Q000601:surgery; D019522:Vaginal Discharge / Q000209:etiology