Case Report

Archives of Gynecology and Obstetrics

, Volume 290, Issue 6, pp 1273-1274

First online:

An unusual long-term complication of transobturator polypropylene mesh

  • Andrea SartoreAffiliated withDepartment of Obstetrics and Gynecology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo Email author 
  • , Floriana ZennaroAffiliated withPediatric Radiology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo
  • , Rubina BancoAffiliated withDepartment of Obstetrics and Gynecology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo

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Abstract

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.

Keywords

Cystocele Vaginal surgery Obturator space Vaginal mesh Complications