Abstract
Introduction and hypothesis
We present three cases of transvaginal removal of mesh exposure involving the bladder, including patient follow-up. Mesh exposure occurred secondary to placement of transvaginal mesh for management of pelvic organ prolapse.
Methods
A pure transvaginal technique was performed to remove mesh exposure involving the bladder. Patient follow-ups were carefully recorded.
Results
All operative steps were completed transvaginally. The duration of follow-up for the three cases was 6, 11, and 19 months. One patient experienced recurrence of mesh exposure during follow-up. The other two patients were symptom-free after surgery. There were no major postoperative complications and no recurrence of cystocele.
Conclusions
Transvaginal removal of mesh exposure involving the bladder is feasible. The pure transvaginal approach is applicable to various conditions with good outcomes, yet it cannot guarantee that exposure of residual fibers within the bladder will not recur.
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References
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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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Yang, TX., Dai, Y. & Shen, H. Transvaginal removal of mesh exposure involving the bladder. Int Urogynecol J 25, 847–849 (2014). https://doi.org/10.1007/s00192-013-2251-3
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DOI: https://doi.org/10.1007/s00192-013-2251-3