Papers

Nov, 2011

[Case of rectal migratin of mesh after TVM (tension-free vaginal mesh) operation].

Nihon Hinyokika Gakkai zasshi. The japanese journal of urology
  • Rikiya Taoka
  • ,
  • Kei Mizuno
  • ,
  • Takashi Matsuoka
  • ,
  • Yuki Kita
  • ,
  • Shotaro Nakanishi
  • ,
  • Seiji Asai
  • ,
  • Takeshi Soda
  • ,
  • Koji Inoue
  • ,
  • Akito Terai

Volume
102
Number
6
First page
726
Last page
30
Language
Japanese
Publishing type
Research paper (scientific journal)

A 64-year-old woman presented with recto-cutaneous fistula after tension-free vaginal mesh reconstruction using polypropylene mesh for pelvic organ prolapse. Eleven months after the operation, an ulcerative lesion with stools smell secretion developed in the left hip. Magnetic resonance imaging and colonoscopy revealed a migration of the left arm of the mesh and a recto-cutaneous fistula. The patient underwent excision of the infected mesh and rectal wall closure together with transient colostomy. After 8 months, colonoscopy revealed a new migration of the mesh in the rectum, which was also removed. The colostomy was closed one year later and rectal erosion has not reccurred since then. The possibility of developing a rare but severe mesh-related complication as presented here should always be kept in mind.

Link information
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/22390087
ID information
  • ISSN : 0021-5287
  • Pubmed ID : 22390087

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