Skip to main content

Advertisement

SpringerLink
Log in

Surgical management of vaginal mesh erosion: an alternative to excision

  • Case Report
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Hypothesis and introduction

Management of vaginal mesh erosion can be conservative, but in a large proportion of patients, excision/trimming of the mesh is needed. This paper describes a technique using an intervening vulval pad of fat graft between the vaginal epithelium and the mesh as an alternative to excision.

Materials and methods

Three cases are presented where vaginal mesh erosion was treated using an intervening vulval pad of fat as a graft to cover polypropylene mesh erosion, and the technique is described.

Results

There were no intraoperative complications. All patients reported no further symptoms at follow-up, and examination revealed no further mesh erosions.

Conclusion

The use of intervening graft of vulval fat can be an alternative to excision in the management of patients with vaginal mesh erosion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Feiner B, Jelovsek JE, Maher C (2009) Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. Br J Obstet Gynecol 116(1):15–24

    CAS  Google Scholar 

  2. Deffieux X, de Tayrac R, Huel C, Bottero J, Gervaise A, Bonnet K, Frydman R, Fernandez H (2007) Vaginal mesh erosion after transvaginal repair of cystocele using Gynemesh or Gynemesh-Soft in 138 women: a comparative study. Int Urogynecol J 18(1):73–79

    Article  CAS  Google Scholar 

  3. Deffieux X, Huel C, de Tayrac R, Bottero J, Porcher R, Gervaise A, Bonnet K, Frydman R, Fernandez H (2006) Vaginal mesh extrusion after transvaginal repair of cystocele using a prosthetic mesh: Treatment and functional outcome. Journal de Gynecologie, Obstetrique et Biologie de la Reproduction 35(7):678–684 (French)

    CAS  PubMed  Google Scholar 

  4. Visco AG, Weidner AC, Barber MD, Myers ER, Cundiff GW, Bump RC, Addison WA (2001) Vaginal mesh erosion after abdominal sacral colpopexy. Am J Obstet Gynecol 184(3):297–302

    Article  CAS  PubMed  Google Scholar 

  5. Elkins TE, DeLancey JO, McGuire EJ (1990) The use of modified Martius graft as an adjunctive technique in vesicovaginal and rectovaginal fistula repair. Obstet Gynecol 75(4):727–733

    CAS  PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Consultant Gynaecological Surgeon, Rockhampton Base Hospital, University of Queensland, Suite 4, Hillcrest Specialist Centre, Talford Lane, Rockhampton 4700, Qld, Australia

    David Shaker

Authors
  1. David Shaker
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David Shaker.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shaker, D. Surgical management of vaginal mesh erosion: an alternative to excision. Int Urogynecol J 21, 499–501 (2010). https://doi.org/10.1007/s00192-009-1009-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-009-1009-4

Keywords

Search

Navigation