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Rectal mesh erosion after posterior vaginal kit repair

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Abstract

Introduction and hypothesis

The present video shows a rare case of erosion through the full rectal wall into the rectum after a transperineal implant of a double-arm polypropylene kit.

Methods

A 70-year-old woman underwent a transperineal implant of a double-arm polypropylene kit. One year after surgery, she developed bothersome symptoms in the posterior perineum including heaviness, pain and rectal bleeding during defecation. A clinical examination showed the presence of a part of the prothesis traversing the rectal cavity. A minimally invasive transanal approach was performed to remove the mesh and restore the rectal integrity.

Results

This surgical technique demonstrates rectal mesh removal with a transanal approach.

Conclusions

To our knowledge, this is a rare complication of rectal erosion of a posterior transperineal mesh kit. The aim of this video is to show a complete transanal approach to treating this serious complication avoiding the more invasive and traumatic abdominal procedure.

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References

  1. 1.

    Lisi G, Campanelli M, Grande S, Grande M, Mascagni D, Milito G. Transperineal rectocele repair with biomesh: updating of a tertiary refer center prospective study. Int J Color Dis. 2018. https://doi.org/10.1007/s00384-018-3054-2.

  2. 2.

    de Tayrac R, Sentilhes L. Complications of pelvic organ prolapse surgery and methods of prevention. Int Urogynecol J. 2013;24:1859–72. https://doi.org/10.1007/s00192-013-2177-9.

  3. 3.

    FDA Public Health Notification: Serious Complications Associated with Transvaginal Placement of Surgical Mesh in Repair of Pelvic Organ Prolapse and Stress Urinary Incontinence (2008) http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/PublicHealthNotifications/ucm061976.htm.

  4. 4.

    FDA Safety Communication: UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse (2011) http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm262435.htm.

  5. 5.

    Haylen BT, Freeman RM, Swift SE, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Int Urogynecol J. 2011;22:3–15 Neurourology and Urodynamics 30(1):2-12.

  6. 6.

    Surgery for women with posterior compartment prolapse (Review) Cochrane Database of Systematic Reviews. 2018, Issue 3. CD012975. https://doi.org/10.1002/14651858.CD012975.

  7. 7.

    Huffaker RK, Shull BL, Thomas JS. A serious complication following placement of posterior Prolift. Int Urogynecol J. 2009;20:1383–5. https://doi.org/10.1007/s00192-009-0873-2.

  8. 8.

    Zhang L, Zhu L, Xu T, Liang S, Lang J. Postoperative voiding difficulty and mesh-related complications after total prolift system surgical repair for pelvic organ prolapse and predisposing factors. Menopause J North Am Menopause Soc. 22(8):885–92. https://doi.org/10.1097/gme.0000000000000402*2015.

  9. 9.

    Lang P, Oliphant S, Mizell J, Austin B, Barr S. Rectal perforation at the time of vaginal mesh placement and subsequent abdominal mesh removal. Int Urogynecol J. 2015.

  10. 10.

    Guenin MO, Wolfisberg L, Kern B, Stoll L, Borbély Y, von Flüe M. Service de Chirurgie Viscérale, St- Claraspital, Basel, Suisse. Érosion rectale d’une prothèse pour cure de prolapsus vaginal (Prolift). January JOGC JANVIER. 2011.

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Author information

Correspondence to Daniela Caramazza.

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Consent

Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

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Cite this article

Campagna, G., Panico, G., Caramazza, D. et al. Rectal mesh erosion after posterior vaginal kit repair. Int Urogynecol J 30, 499–500 (2019) doi:10.1007/s00192-018-3782-4

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Keywords

  • Rectal mesh erosion
  • Pelvic organ prolapse
  • Vaginal kit
  • Transanal approach