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Mesh excision secondary to spondylodiscitis after colposacropexy graft rejection: a step by step video

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Abstract

Introduction

Spondylodiscitis secondary to colposacropexy is an extremely rare entity. Infection and mesh rejection are the main causes. Removal of the mesh is essential for patient’s recovery and it can be a very challenging surgical procedure.

Case

A 72-year-old woman presented with severe low back pain in the context of a recent colposacropexy. Magnetic resonance imaging was performed and spondylodiscitis secondary to prolapse correction surgery with mesh was suspected. In order to ensure an adequate recovery, removal of the mesh was required.

Conclusions

Spondylodiscitis secondary to colposacropexy should be suspected when the patient starts with moderate lumbar pain and is not correctly controlled with first-level analgesia. Infection or mesh rejection should be considered. Mesh rejection should be suspected when the patient does not improve after antibiotics. Complete removal of the mesh is needed in order to ensure the patient’s recovery.

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Data availability

Dara sharing is not applicable to this article as no datasets were generated or analyzed during current study.

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Authors and Affiliations

  1. Division of female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology, Hospitales Madrid (HM), Boadilla del Monte, Madrid, Spain

    J. Sanz Pablos, E. Cabezas Lopez, M. Miró Matos, I. López Carrasco, N. Montero Pastor & E. Moratalla Bartolome

  2. Department of Gynecology, Division of Endoscopic Gynecology, Hospital Ramón y Cajal, Madrid, Spain

    E. Cabezas Lopez & E. Moratalla Bartolome

Authors
  1. J. Sanz Pablos
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  2. E. Cabezas Lopez
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  3. M. Miró Matos
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  4. I. López Carrasco
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  5. N. Montero Pastor
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  6. E. Moratalla Bartolome
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Contributions

JSP: Project development, data collection, manuscript writing. ECL, MMM, ILC, NMP, EMB: Project development, data collection.

Corresponding author

Correspondence to J. Sanz Pablos.

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The authors declare that they have no conflict of interest.

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Informed consent was signed by the patient for the use of her clinical information and images.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Sanz Pablos, J., Cabezas Lopez, E., Miró Matos, M. et al. Mesh excision secondary to spondylodiscitis after colposacropexy graft rejection: a step by step video. Tech Coloproctol 27, 1401–1403 (2023). https://doi.org/10.1007/s10151-023-02867-2

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  • DOI: https://doi.org/10.1007/s10151-023-02867-2

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