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International Urogynecology Journal

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01-04-2010 | Case Report

Surgical management of vaginal mesh erosion: an alternative to excision

Author: David Shaker

Published in: International Urogynecology Journal | Issue 4/2010

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.

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

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):73–79CrossRef

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)PubMed

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):297–302CrossRefPubMed

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):727–733PubMed

Title: Surgical management of vaginal mesh erosion: an alternative to excision
Author: David Shaker
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 4/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1009-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Surgical management of vaginal mesh erosion: an alternative to excision

Abstract

Hypothesis and introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Hypothesis and introduction

Materials and methods

Results

Conclusion

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