title: A transvaginal removal and repair of vesicovaginal fistula due to mesh erosion.
abstract: Vesicovaginal fistula (VVF) is a devastating social problem. It can either result from obstetric trauma or following gynecological surgeries, malignancy, or radiation. We present a case of a 70-year-old woman who had a VVF following mesh augmentation surgery for anterior compartment prolapse. She required a transvaginal removal of the eroded mesh followed by a transvaginal repair of VVF using a Martius flap, 6 weeks later. Transvaginal removal of mesh is technically feasible and a good approach. Timing and route of surgery should be individualized.
authors: Department of Obstetrics and Gynecology, IKDRC-ITS, Ahmedabad, Gujarat, India.
authors: Vineet V
authors: VV
authors: Mishra
authors: Department of Obstetrics and Gynecology, IKDRC-ITS, Ahmedabad, Gujarat, India.
authors: Tanvir
authors: T
authors: Tanvir
authors: Department of Obstetrics and Gynecology, IKDRC-ITS, Ahmedabad, Gujarat, India.
authors: Sumesh
authors: S
authors: Choudhary
authors: Department of Obstetrics and Gynecology, IKDRC-ITS, Ahmedabad, Gujarat, India.
authors: Nilesh
authors: N
authors: Goraniya
keywords: Bladder mesh erosion; transvaginal removal of mesh; vesicovaginal fistula