title: An unusual long-term complication of transobturator polypropylene mesh.
abstract: Serious complications associated with surgical mesh for transvaginal repair of POP, as infections, vaginal mesh exposure, painful mesh shrinkage and dyspareunia, are not rare. A 48-year-old woman underwent the Perigee procedure because of a stage 3 anterior wall prolapse. Eleven months after surgery, the patient became suddenly unable to walk because of a strong pain to the left thigh root after running. The MRI revealed an external obturator left muscle hyperintensity consistent with muscular oedema; the patient was treated with oral corticosteroids with a complete resolution of the pain. We could hypothesize that the posterior arm of the mesh caused a laceration of the muscles of the obturator space with consequent oedema and pain. The use of the meshes in prolapse surgery can cause unexpected long-term complications.
authors.affiliation: Department of Obstetrics and Gynecology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Via dell'Istria 65/1, 34137, Trieste, Italy, andrea.sartore@burlo.trieste.it.
authors.forename: Andrea
authors.initials: A
authors.lastname: Sartore
authors.forename: Floriana
authors.initials: F
authors.lastname: Zennaro
authors.forename: Rubina
authors.initials: R
authors.lastname: Banco
mesh_terms: D052858:Cystocele / Q000601:surgery; D004414:Dyspareunia / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011126:Polypropylenes; D011183:Postoperative Complications; D011241:Prednisone / Q000627:therapeutic use; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*
chemical_list: D005938:Glucocorticoids; D011126:Polypropylenes; D011241:Prednisone