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An unusual long-term complication of transobturator polypropylene mesh

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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.

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Conflict of interest

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Via dell’Istria 65/1, 34137, Trieste, Italy

    Andrea Sartore & Rubina Banco

  2. Pediatric Radiology, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Via dell’Istria 65/1, 34137, Trieste, Italy

    Floriana Zennaro

Authors
  1. Andrea Sartore
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  2. Floriana Zennaro
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  3. Rubina Banco
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Correspondence to Andrea Sartore.

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Sartore, A., Zennaro, F. & Banco, R. An unusual long-term complication of transobturator polypropylene mesh. Arch Gynecol Obstet 290, 1273–1274 (2014). https://doi.org/10.1007/s00404-014-3368-4

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  • DOI: https://doi.org/10.1007/s00404-014-3368-4

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