Laparoscopic removal of intravesical mesh following pelvic organ prolapse mesh surgery


With the increasing popularity of mesh in prolapse surgery, complications such as intravesical mesh will arise more frequently. In three cases intravesical mesh was identified in the trigone of the bladder following laparoscopic mesh hysteropexy, open sacral colpopexy, and transvaginal mesh repair and presented 9 months to 7 years later with a variety of symptoms including recurrent urinary tract infections, suprapubic pain, and constant urinary leakage. Each underwent uncomplicated laparoscopic transvesical removal of intravesical mesh. Intravesical mesh can present years following index prolapse surgery and can develop despite the bladder integrity being documented as being intact at the initial surgery. The laparoscopic approach to the removal of intravesical mesh is feasible, minimally invasive, and a precise approach to this challenging complication.

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One case was presented as surgical video Combined IUGA/ICS meeting Toronto 25 August 2010.

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Correspondence to Christopher Maher.

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Maher, C., Feiner, B. Laparoscopic removal of intravesical mesh following pelvic organ prolapse mesh surgery. Int Urogynecol J 22, 1593–1595 (2011) doi:10.1007/s00192-011-1465-5

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  • Laparoscopic removal intravesical mesh