Archives of Gynecology and Obstetrics

, Volume 290, Issue 6, pp 1273–1274

An unusual long-term complication of transobturator polypropylene mesh

Case Report

DOI: 10.1007/s00404-014-3368-4

Cite this article as:
Sartore, A., Zennaro, F. & Banco, R. Arch Gynecol Obstet (2014) 290: 1273. doi:10.1007/s00404-014-3368-4


Serious complications associated with surgical mesh for transvaginal repair of POP, as infections, vaginal mesh exposure, painful mesh shrinkage and dyspareunia, are not rare. A 48-year-old woman underwent the Perigee procedure because of a stage 3 anterior wall prolapse. Eleven months after surgery, the patient became suddenly unable to walk because of a strong pain to the left thigh root after running. The MRI revealed an external obturator left muscle hyperintensity consistent with muscular oedema; the patient was treated with oral corticosteroids with a complete resolution of the pain. We could hypothesize that the posterior arm of the mesh caused a laceration of the muscles of the obturator space with consequent oedema and pain. The use of the meshes in prolapse surgery can cause unexpected long-term complications.


CystoceleVaginal surgeryObturator spaceVaginal meshComplications

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Andrea Sartore
    • 1
  • Floriana Zennaro
    • 2
  • Rubina Banco
    • 1
  1. 1.Department of Obstetrics and GynecologyInstitute for Maternal and Child Health, IRCCS Burlo GarofoloTriesteItaly
  2. 2.Pediatric RadiologyInstitute for Maternal and Child Health, IRCCS Burlo GarofoloTriesteItaly