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Obstetrics & Gynecology 2004;103:1040-1042
© 2004 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Transvaginal Endoscopic Removal of Eroded Mesh After Abdominal Sacral Colpopexy

Audrey A. Romero, MD*, Cindy L. Amundsen, MD*, Alison C. Weidner, MD* and George D. Webster, MB, FRCS{dagger}

Departments of *Obstetrics and Gynecology and {dagger}Urology, Duke University Medical Center, Durham, North Carolina

BACKGROUND: Abdominal sacral colpopexy with permanent mesh has become the preferred abdominal technique for correcting posthysterectomy vaginal vault prolapse. Although rare, mesh erosion after sacral colpopexy is often challenging to manage. We report on 3 cases of mesh erosion after abdominal sacral colpopexy managed by transvaginal endoscopic removal of the mesh.

CASES: The cases involve patients who underwent an abdominal sacral colpopexy and had vaginal mesh erosions within 3 years of their surgeries. Conservative and traditional transvaginal techniques failed, and the patients continued to complain of vaginal discharge. All patients underwent transvaginal endoscopic removal of the mesh and are cured of their chronic discharges.

CONCLUSION: Transvaginal endoscopic removal is an effective, minimally invasive option for removal of eroded mesh after abdominal sacral colpopexy.




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W G. Hurt
Abdominal Sacral Colpopexies Complicated by Vaginal Graft Extrusion
Obstet. Gynecol., May 1, 2004; 103(5): 1033 - 1034.
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