International Urogynecology Journal

, Volume 20, Issue 9, pp 1137–1139

Multiple perineal abscesses and sinus tracts as a complication of vaginal mesh

  • Christina Lewicky-Gaupp
  • Edward J. McGuire
  • Dee E. Fenner
Case Report

DOI: 10.1007/s00192-009-0816-y

Cite this article as:
Lewicky-Gaupp, C., McGuire, E.J. & Fenner, D.E. Int Urogynecol J (2009) 20: 1137. doi:10.1007/s00192-009-0816-y

Abstract

Understanding the occurrence and management of mesh kit complications has become increasingly important. A 54-year-old woman presented to our tertiary care center with complaints of constant perineal pain, and copious, foul-smelling vaginal discharge after anterior and posterior placement of a synthetic mesh and mid-urethral sling 3 months earlier. She was found to have two vaginocutaneous sinus tracts (to the left ischiorectal fossa and to the left labia majora), as well as bilateral abscess cavities within the ischiorectal fossae. The posterior mesh was completely excised, the tracts were opened, and the wound was packed and allowed to heal by secondary intention.

Keywords

Vaginal meshErosionSinus tractAbscess

Abbreviations

POP

Pelvic organ prolapse

TVT

Tension-free vaginal tape

Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Christina Lewicky-Gaupp
    • 1
    • 3
  • Edward J. McGuire
    • 2
  • Dee E. Fenner
    • 1
  1. 1.Department of Obstetrics and Gynecology, Division of Gynecology, Pelvic Floor Research GroupUniversity of Michigan Medical SchoolAnn ArborUSA
  2. 2.Department of UrologyUniversity of Michigan Medical SchoolAnn ArborUSA
  3. 3.Women’s HospitalAnn ArborUSA