• J. Obstet. Gynaecol. Res. · Mar 2014

    Case Reports

    Delayed intravesical mesh erosion in a midurethral sling following further mesh-augmented pelvic prolapse surgery.

    • Tsia-Shu Lo, Leng Boi Pue, Yiap Loong Tan, Siwatchaya Khanuengkitkong, and Anil Krishna Dass.
    • J. Obstet. Gynaecol. Res. 2014 Mar 1; 40 (3): 862-4.

    AbstractIntravesical mesh erosion and extrusion have been reported as devastating late complications of synthetic suburethral sling placement for the treatment of stress urinary incontinence. We report a case of a female patient with intravesical mesh erosion from a sling suspension that developed 4 years after primary prolapse surgery with mesh reinforcement. Intravesical mesh erosion was observed ultrasonographically and confirmed through cystoscopy. We excised the mesh via a vaginal approach and repaired both bladder mucosa and vaginal wall. As of this writing, the patient has been symptom-free for the past year post-surgery. Long-term follow-up is recommended in such cases. Anti-incontinence surgery followed by primary prolapse surgery could potentially jeopardize the former. Complications may arise several years later so long-term follow-up is essential. Ultrasonography is an effective tool in evaluating mesh morphology and detecting intravesical mesh erosion.

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