Rectal mesh erosion after posterior vaginal kit repair

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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.


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.


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


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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Correspondence to Daniela Caramazza.

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

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(MP4 91,880 kb)

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