International Urogynecology Journal

, Volume 21, Issue 6, pp 757–760 | Cite as

Pure transvaginal removal of eroded mesh and retained foreign body in the bladder

  • Farzeen Firoozi
  • Michael S. Ingber
  • Howard B. Goldman
Case Report

Abstract

Introduction and hypothesis

We present a pure transvaginal approach to the removal of eroded mesh and a retained foreign body involving the bladder secondary to placement of transvaginal mesh for management of pelvic organ prolapse (POP) using a mesh kit.

Methods

Transvaginal excision of mesh erosion involving the bladder after mesh placement using a prolapse kit was performed. A U-shaped incision was made in the anterior vaginal wall; mesh was identified, divided in the midline, and then dissected from the bladder. Additionally, a retained foreign body was removed from the bladder. The bladder was closed in three layers transvaginally.

Results

Removal of eroded mesh and foreign body within the bladder was completed with all operative steps performed transvaginally. Follow-up cystogram was normal. There were no postoperative complications.

Conclusions

Transvaginal removal of mesh erosion and retained foreign body involving the bladder is feasible and allows for rapid return to normal function.

Keywords

Bladder erosion Polypropylene mesh Pelvic organ prolapse 

References

  1. 1.
    de Tayrac R, Gervaise A, Chauveaud A, Fernandez H (2005) Tension-free polypropylene mesh for vaginal repair of anterior vaginal wall prolapse. J Reprod Med 50(2):75–80PubMedGoogle Scholar
  2. 2.
    Nygaard IE, McCreery R, Brubaker L, Connolly A, Cundiff G, Weber AM et al (2004) Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 104(4):805–823PubMedGoogle Scholar
  3. 3.
    Ridgeway B, Walters MD, Paraiso MF, Barber MD, McAchran SE, Goldman HB et al (2008) Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits. Am J Obstet Gynecol 199(6):703CrossRefPubMedGoogle Scholar
  4. 4.
    Araco F, Gravante G, Piccione E (2009) Bladder erosion after 2 years from cystocele repair with type I polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 20(6):731–733CrossRefPubMedGoogle Scholar
  5. 5.
    Yamada BS, Govier FE, Stefanovic KB, Kobashi KC (2006) Vesicovaginal fistula and mesh erosion after perigee (transobturator polypropylene mesh anterior repair). Urology 68(5):1121CrossRefPubMedGoogle Scholar

Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Farzeen Firoozi
    • 1
    • 2
  • Michael S. Ingber
    • 1
  • Howard B. Goldman
    • 1
  1. 1.Glickman Urological and Kidney InstituteCleveland Clinic, Hillcrest HospitalClevelandUSA
  2. 2.9500 Euclid Ave, Q10-1ClevelandUSA

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