Transvaginal endoscopic removal of eroded mesh after abdominal sacral colpopexy.

Journal Article

BACKGROUND: Abdominal sacral colpopexy with permanent mesh has become the preferred abdominal technique for correcting posthysterectomy vaginal vault prolapse. Although rare, mesh erosion after sacral colpopexy is often challenging to manage. We report on 3 cases of mesh erosion after abdominal sacral colpopexy managed by transvaginal endoscopic removal of the mesh. CASES: The cases involve patients who underwent an abdominal sacral colpopexy and had vaginal mesh erosions within 3 years of their surgeries. Conservative and traditional transvaginal techniques failed, and the patients continued to complain of vaginal discharge. All patients underwent transvaginal endoscopic removal of the mesh and are cured of their chronic discharges. CONCLUSION: Transvaginal endoscopic removal is an effective, minimally invasive option for removal of eroded mesh after abdominal sacral colpopexy.

Full Text

Duke Authors

Cited Authors

  • Romero, AA; Amundsen, CL; Weidner, AC; Webster, GD

Published Date

  • May 2004

Published In

Volume / Issue

  • 103 / 5 Pt 2

Start / End Page

  • 1040 - 1042

PubMed ID

  • 15121600

International Standard Serial Number (ISSN)

  • 0029-7844

Digital Object Identifier (DOI)

  • 10.1097/01.AOG.0000123242.69217.93

Language

  • eng

Conference Location

  • United States