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Early and Complete Excision of Vaginally Placed Synthetic Mesh

El-Nashar, Sherif A. MBBCh, MS; Kim-Fine, Shunaha MD; Trabuco, Emanuel C. MD, MS

Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31828638cd
Case Reports
Abstract

Background: Mesh-related vaginal pain is a potential and morbid complication of vaginal polypropylene mesh. Late excision of the mesh, after incorporation has been completed, allows for only partial removal of the mesh, is technically challenging, and results in inconsistent resolution of pain symptoms.

Case: We present a case of a 37-year-old patient who underwent tension-free vaginal polypropylene mesh (Uphold; Boston Scientific, Natick, MA) for treatment pelvic organ prolapse. She had immediate severe postoperative pain, frequency, urgency, and urinary retention since the procedure (CODE 6Be-T1-S4). Successful complete excision of the mesh and supporting arms was performed 11 days after original procedure with complete resolution of symptoms.

Conclusions: Early complete removal of polypropylene mesh is feasible before incorporation and might be associated with complete resolution of pain in selected cases of mesh-related pain complications.

In Brief

Early complete removal of vaginally placed polypropylene mesh is feasible and is associated with complete resolution of pain related to insertion of the mesh.

Author Information

From the Division of Gynecology Surgery, Mayo Clinic, Rochester, MN.

Reprints: Emanuel C. Trabuco, MD, MS, Division of Gynecologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905. E-mail: trabuco.emanuel@mayo.edu.

The authors have declared they have no conflicts of interest.

© 2013 by Lippincott Williams & Wilkins