Skip Navigation LinksHome > May/June 2013 - Volume 19 - Issue 3 > Early and Complete Excision of Vaginally Placed Synthetic Me...
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Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31828638cd
Case Reports

Early and Complete Excision of Vaginally Placed Synthetic Mesh

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

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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.

Copyright © 2013 by Lippincott Williams & Wilkins

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