International Urogynecology Journal

, Volume 24, Issue 10, pp 1765–1767

Necrotising fasciitis after hysterectomy and concomitant transvaginal mesh repair in a patient with pelvic organ prolapse

  • Dmitry Y. Pushkar
  • Mikhail I. Vasilchenko
  • George R. Kasyan
Case Report

DOI: 10.1007/s00192-013-2047-5

Cite this article as:
Pushkar, D.Y., Vasilchenko, M.I. & Kasyan, G.R. Int Urogynecol J (2013) 24: 1765. doi:10.1007/s00192-013-2047-5


Necrotising fasciitis is a severe form of soft tissue infection. Herein, we present an unreported complication of the transvaginal repair of a pelvic organ prolapse (POP) with trocar-guided polypropylene mesh and a concomitant hysterectomy. A 61-year-old Caucasian female who had been using an intrauterine device (IUD) for 30 years presented with a stage 3 pelvic organ prolapse. A genital ultrasound examination confirmed the presence of an IUD, but found no endometrial abnormalities. The surgical management was limited to a transvaginal hysterectomy and simultaneous anterior vaginal wall repair augmented with trocar-guided mesh. A morphological examination of the removed uterus confirmed the presence of the intrauterine device and additionally found endometrial cancer (T1N0M0), which was not revealed during the preoperative ultrasound. Within 6 days of the surgery, she developed anaerobic bilateral necrotising fasciitis on both thighs. Non-clostridial streptococci were identified in the wound. After 18 days of intensive care, the patient died of fatal coagulopathy.


Necrotising fasciitis Anaerobic Intrauterine device Prolapse Mesh Endometrial cancer 

Copyright information

© The International Urogynecological Association 2013

Authors and Affiliations

  • Dmitry Y. Pushkar
    • 1
  • Mikhail I. Vasilchenko
    • 2
  • George R. Kasyan
    • 1
    • 3
  1. 1.Urology DepartmentMoscow State University of Medicine and DentistryMoscowRussia
  2. 2.General Surgery departmentMoscow City Hospital 50MoscowRussia
  3. 3.MoscowRussia

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