Delayed intravesical mesh erosion in a midurethral sling following further mesh- augmented pelvic prolapse surgery

作者：Lo Tsia Shu^*; Pue Leng Boi; Tan Yiap Loong; Khanuengkitkong Siwatchaya; Dass Anil Krishna

来源：Journal of Obstetrics and Gynaecology Research, 2014, 40(3): 862-864.

DOI：10.1111/jog.12239

• diagnostic techniques
• mesh erosion
• repeated vaginal surgeries
• surgical mesh
• ultrasonography

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.

• 出版日期2014-3
• 单位长春大学