Advertisement

International Urogynecology Journal

, Volume 24, Issue 6, pp 925–926 | Cite as

Pure transvaginal excision of mesh erosion involving the bladder

  • Farzeen FirooziEmail author
  • Howard B. Goldman
IUJ Video

Abstract

Introduction and hypothesis

We present a pure transvaginal approach to the removal of eroded mesh involving the bladder secondary to placement of transvaginal mesh for management of pelvic organ prolapse (POP) using a mesh kit.

Methods

Although technically challenging, we demonstrate the feasibility of a purely transvaginal approach, avoiding a potentially more morbid transabdominal approach.

Results

The video presents the surgical technique of pure transvaginal excision of mesh erosion involving the bladder after mesh placement using a prolapse kit was performed.

Conclusions

This video shows that purely transvaginal removal of mesh erosion involving the bladder can be done safely and is feasible.

Keywords

Pelvic organ prolapse Vaginal mesh Complications 

Notes

Consent

Written informed consent was obtained from the patient for publication of this case report/video article and any accompanying images.

Conflicts of interest

None.

Supplementary material

ESM 1

(MP4 133453 kb)

References

  1. 1.
    Yamada BS, Govier FE, Stefanovic KB et al (2006) Vesicovaginal fistula and mesh erosion after Perigee (transobturator polypropylene mesh anterior repair). Urology 68(5):1121.e5–1121.e7CrossRefGoogle Scholar
  2. 2.
    Firoozi F, Ingber MS, Moore CK et al (2012) Purely transvaginal/perineal management of complications from commercial prolapse kits with the utilization of the new prostheses/grafts complication classification system. J Urol 187(5):1674–1679PubMedCrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2013

Authors and Affiliations

  1. 1.Section Pelvic Health and Reconstructive Surgery, The Arthur Smith Institute for UrologyHofstra North Shore-LIJ School of MedicineLake SuccessUSA
  2. 2.Section of Female Pelvic Medicine and Reconstructive Surgery, Glickman Urological InstituteCleveland ClinicClevelandUSA
  3. 3.The Arthur Smith Institute for UrologyNorth Shore-LIJ Health SystemLake SuccessUSA

Personalised recommendations