Archives of Gynecology and Obstetrics

, Volume 290, Issue 6, pp 1273–1274 | Cite as

An unusual long-term complication of transobturator polypropylene mesh

Case Report


Serious complications associated with surgical mesh for transvaginal repair of POP, as infections, vaginal mesh exposure, painful mesh shrinkage and dyspareunia, are not rare. A 48-year-old woman underwent the Perigee procedure because of a stage 3 anterior wall prolapse. Eleven months after surgery, the patient became suddenly unable to walk because of a strong pain to the left thigh root after running. The MRI revealed an external obturator left muscle hyperintensity consistent with muscular oedema; the patient was treated with oral corticosteroids with a complete resolution of the pain. We could hypothesize that the posterior arm of the mesh caused a laceration of the muscles of the obturator space with consequent oedema and pain. The use of the meshes in prolapse surgery can cause unexpected long-term complications.


Cystocele Vaginal surgery Obturator space Vaginal mesh Complications 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Andrea Sartore
    • 1
  • Floriana Zennaro
    • 2
  • Rubina Banco
    • 1
  1. 1.Department of Obstetrics and GynecologyInstitute for Maternal and Child Health, IRCCS Burlo GarofoloTriesteItaly
  2. 2.Pediatric RadiologyInstitute for Maternal and Child Health, IRCCS Burlo GarofoloTriesteItaly

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