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Lumbosacral osteomyelitis after robot-assisted total laparoscopic hysterectomy and sacral colpopexy

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Abstract

We report on the transabdominal resection of infected lumbosacral bone, synthetic mesh, and sinus tract following sacral colpopexy. A 45-year-old nulliparous patient who had undergone transvaginal mesh followed by robot-assisted sacral colpopexy presented with increasing back pain and foul-smelling vaginal drainage. An epidural abscess required surgical intervention, including diskectomy, sacral debridement, and mesh removal to drain the abscess and vaginal sinus tract. Recognized complications of open prolapse procedures also manifest following minimally invasive approaches. Osteomyelitis of the sacral promontory following sacral colpopexy may require gynecologic and neurosurgical management.

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Conflict of interest

Dr. Paraiso is on the Coloplast Advisory Board. Drs. Diwadkar and Muffly have no disclosures.

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Authors and Affiliations

  1. Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA

    Tyler M. Muffly, Gouri B. Diwadkar & Marie Fidela R. Paraiso

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  1. Tyler M. Muffly
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  2. Gouri B. Diwadkar
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  3. Marie Fidela R. Paraiso
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Correspondence to Tyler M. Muffly.

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Muffly, T.M., Diwadkar, G.B. & Paraiso, M.F.R. Lumbosacral osteomyelitis after robot-assisted total laparoscopic hysterectomy and sacral colpopexy. Int Urogynecol J 21, 1569–1571 (2010). https://doi.org/10.1007/s00192-010-1187-0

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  • DOI: https://doi.org/10.1007/s00192-010-1187-0

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