International Urogynecology Journal

, Volume 30, Issue 3, pp 499–500 | Cite as

Rectal mesh erosion after posterior vaginal kit repair

  • Giuseppe Campagna
  • Giovanni Panico
  • Daniela CaramazzaEmail author
  • Monia Marturano
  • Alfredo Ercoli
  • Giovanni Scambia
  • Mauro Cervigni
IUJ Video


Introduction and hypothesis

The present video shows a rare case of erosion through the full rectal wall into the rectum after a transperineal implant of a double-arm polypropylene kit.


A 70-year-old woman underwent a transperineal implant of a double-arm polypropylene kit. One year after surgery, she developed bothersome symptoms in the posterior perineum including heaviness, pain and rectal bleeding during defecation. A clinical examination showed the presence of a part of the prothesis traversing the rectal cavity. A minimally invasive transanal approach was performed to remove the mesh and restore the rectal integrity.


This surgical technique demonstrates rectal mesh removal with a transanal approach.


To our knowledge, this is a rare complication of rectal erosion of a posterior transperineal mesh kit. The aim of this video is to show a complete transanal approach to treating this serious complication avoiding the more invasive and traumatic abdominal procedure.


Rectal mesh erosion Pelvic organ prolapse Vaginal kit Transanal approach 


Compliance with ethical standards

Conflicts of interest


Supplementary material


(MP4 91,880 kb)


  1. 1.
    Lisi G, Campanelli M, Grande S, Grande M, Mascagni D, Milito G. Transperineal rectocele repair with biomesh: updating of a tertiary refer center prospective study. Int J Color Dis. 2018.
  2. 2.
    de Tayrac R, Sentilhes L. Complications of pelvic organ prolapse surgery and methods of prevention. Int Urogynecol J. 2013;24:1859–72. Scholar
  3. 3.
    FDA Public Health Notification: Serious Complications Associated with Transvaginal Placement of Surgical Mesh in Repair of Pelvic Organ Prolapse and Stress Urinary Incontinence (2008)
  4. 4.
    FDA Safety Communication: UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse (2011)
  5. 5.
    Haylen BT, Freeman RM, Swift SE, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Int Urogynecol J. 2011;22:3–15 Neurourology and Urodynamics 30(1):2-12.CrossRefPubMedGoogle Scholar
  6. 6.
    Surgery for women with posterior compartment prolapse (Review) Cochrane Database of Systematic Reviews. 2018, Issue 3. CD012975.
  7. 7.
    Huffaker RK, Shull BL, Thomas JS. A serious complication following placement of posterior Prolift. Int Urogynecol J. 2009;20:1383–5. Scholar
  8. 8.
    Zhang L, Zhu L, Xu T, Liang S, Lang J. Postoperative voiding difficulty and mesh-related complications after total prolift system surgical repair for pelvic organ prolapse and predisposing factors. Menopause J North Am Menopause Soc. 22(8):885–92.*2015.
  9. 9.
    Lang P, Oliphant S, Mizell J, Austin B, Barr S. Rectal perforation at the time of vaginal mesh placement and subsequent abdominal mesh removal. Int Urogynecol J. 2015.Google Scholar
  10. 10.
    Guenin MO, Wolfisberg L, Kern B, Stoll L, Borbély Y, von Flüe M. Service de Chirurgie Viscérale, St- Claraspital, Basel, Suisse. Érosion rectale d’une prothèse pour cure de prolapsus vaginal (Prolift). January JOGC JANVIER. 2011.Google Scholar

Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Department of Woman and Child Health, Woman Health AreaIRCCS - Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro CuoreRomeItaly
  2. 2.Department of Obstetrics and GynecologyUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro”, Maggiore HospitalNovaraItaly

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