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

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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.

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Abbreviations

POP:

Pelvic organ prolapse

TVT:

Tension-free vaginal tape

References

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Conflicts of interest

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Division of Gynecology, Pelvic Floor Research Group, University of Michigan Medical School, Ann Arbor, MI, USA

    Christina Lewicky-Gaupp & Dee E. Fenner

  2. Department of Urology, University of Michigan Medical School, Ann Arbor, MI, USA

    Edward J. McGuire

  3. Women’s Hospital, L4100, 1500 East Medical Center Drive, Ann Arbor, MI, 48109-0276, USA

    Christina Lewicky-Gaupp

Authors
  1. Christina Lewicky-Gaupp
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  2. Edward J. McGuire
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  3. Dee E. Fenner
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Correspondence to Christina Lewicky-Gaupp.

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Lewicky-Gaupp, C., McGuire, E.J. & Fenner, D.E. Multiple perineal abscesses and sinus tracts as a complication of vaginal mesh. Int Urogynecol J 20, 1137–1139 (2009). https://doi.org/10.1007/s00192-009-0816-y

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  • DOI: https://doi.org/10.1007/s00192-009-0816-y

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