title: Delayed intravesical mesh erosion in a midurethral sling following further mesh-augmented pelvic prolapse surgery.
abstract: Intravesical mesh erosion and extrusion have been reported as devastating late complications of synthetic suburethral sling placement for the treatment of stress urinary incontinence. We report a case of a female patient with intravesical mesh erosion from a sling suspension that developed 4 years after primary prolapse surgery with mesh reinforcement. Intravesical mesh erosion was observed ultrasonographically and confirmed through cystoscopy. We excised the mesh via a vaginal approach and repaired both bladder mucosa and vaginal wall. As of this writing, the patient has been symptom-free for the past year post-surgery. Long-term follow-up is recommended in such cases. Anti-incontinence surgery followed by primary prolapse surgery could potentially jeopardize the former. Complications may arise several years later so long-term follow-up is essential. Ultrasonography is an effective tool in evaluating mesh morphology and detecting intravesical mesh erosion.
authors.forename: Tsia-Shu
authors.initials: TS
authors.lastname: Lo
authors.forename: Leng Boi
authors.initials: LB
authors.lastname: Pue
authors.forename: Yiap Loong
authors.initials: YL
authors.lastname: Tan
authors.forename: Siwatchaya
authors.initials: S
authors.lastname: Khanuengkitkong
authors.forename: Anil Krishna
authors.initials: AK
authors.lastname: Dass
mesh_terms: D000368:Aged; D004868:Equipment Failure; D005260:Female; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D011475:Prosthesis Failure / Q000009:adverse effects*; D012086:Reoperation / Q000009:adverse effects; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D014621:Vagina / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery