Case Report

International Urogynecology Journal

, Volume 21, Issue 6, pp 757-760

Pure transvaginal removal of eroded mesh and retained foreign body in the bladder

  • Farzeen FirooziAffiliated withGlickman Urological and Kidney Institute, Cleveland Clinic, Hillcrest Hospital9500 Euclid Ave, Q10-1 Email author 
  • , Michael S. IngberAffiliated withGlickman Urological and Kidney Institute, Cleveland Clinic, Hillcrest Hospital
  • , Howard B. GoldmanAffiliated withGlickman Urological and Kidney Institute, Cleveland Clinic, Hillcrest Hospital

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Abstract

Introduction and hypothesis

We present a pure transvaginal approach to the removal of eroded mesh and a retained foreign body involving the bladder secondary to placement of transvaginal mesh for management of pelvic organ prolapse (POP) using a mesh kit.

Methods

Transvaginal excision of mesh erosion involving the bladder after mesh placement using a prolapse kit was performed. A U-shaped incision was made in the anterior vaginal wall; mesh was identified, divided in the midline, and then dissected from the bladder. Additionally, a retained foreign body was removed from the bladder. The bladder was closed in three layers transvaginally.

Results

Removal of eroded mesh and foreign body within the bladder was completed with all operative steps performed transvaginally. Follow-up cystogram was normal. There were no postoperative complications.

Conclusions

Transvaginal removal of mesh erosion and retained foreign body involving the bladder is feasible and allows for rapid return to normal function.

Keywords

Bladder erosion Polypropylene mesh Pelvic organ prolapse