A serious complication following placement of posterior Prolift

  • R. Keith Huffaker
  • Bobby L. Shull
  • J. Scott Thomas
Case Report


A 32-year-old female with Crohn's disease experienced a rectovaginal fistula and abscess with rectal expulsion of posterior Prolift. She underwent diagnostic laparoscopy, transanal incision and drainage of abscess, transanal excision of mesh, and laparotomy with loop ileostomy. Weeks later, she underwent colectomy, near-total proctectomy, end ileostomy, and fistula repair.


Complications Pelvic organ prolapse Prolift Synthetic mesh 


  1. 1.
    Dwyer PL, O'Reilly BA (2004) Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 111(8):831–836CrossRefPubMedGoogle Scholar
  2. 2.
    Hurtado EA, Appell RA (2008) Management of complications arising from transvaginal mesh kit procedures: a tertiary referral center's experience. Int Urogynecol J Pelvic Floor Dysfunct. doi:10.1007/s00192-008-0721-9 Google Scholar
  3. 3.
    Singh B, McMortensen NJ, Jewell DP, George B (2004) Perianal Crohn's disease. Br J Surg 91:801–814CrossRefPubMedGoogle Scholar
  4. 4.
    Present DH, Rutgeerts P, Targan S et al (1999) Infliximab for the treatment of fistulas in patients with Crohn's disease. N Engl J Med 340(18):1398–1405CrossRefPubMedGoogle Scholar
  5. 5.
    van der Hagen SJ, Baeten CG, Soeters PB et al (2005) Anti-TNF-alpha (infliximab) used as induction treatment in case of active proctitis in a multistep strategy followed by definitive surgery of complex anal fistulas in Crohn's disease: a preliminary report. Dis Colon Rectum 48:758–767CrossRefPubMedGoogle Scholar

Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • R. Keith Huffaker
    • 1
  • Bobby L. Shull
    • 1
  • J. Scott Thomas
    • 2
  1. 1.Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and GynecologyScott & White Memorial Hospital and ClinicTempleUSA
  2. 2.Division of Surgical Oncology, Department of SurgeryScott & White Memorial Hospital and ClinicTempleUSA

Personalised recommendations