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A Case of Silicone Mesh Extrusion Into the Bladder Associated With Robotic Sacrocolpopexy

Mukati, Marium MD; Shobeiri, S. Abbas MD, FACOG

Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e318290988e
Case Reports
Abstract

Background: Over the past several years, the daVinci robot has been used in gynecologic surgery as a new surgical approach. The literature is being slowly populated with pros and cons of this technology.

Case: We report a 60-year-old woman with a history of pelvic organ prolapse who had a robotic sacrocolpopexy. She presented with mesh extrusion into her vagina, which was removed by exploratory laparotomy. Two years later, she presented with mesh erosion into her bladder, which was removed.

Conclusion: This case report provides an example of significant mesh complication associated with robotic sacrocolpopexy 4 years after surgery and then again 2 years later.

In Brief

This case report provides an example of significant silicone mesh erosion associated with robotic sacrocolpopexy 4 years after surgery and then again 2 years later.

Author Information

From the Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, OK.

Reprints: S. Abbas Shobeiri, MD, Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd (PO Box 26901), WP2410, Oklahoma City, OK 73190. E-mail: Abbas-Shobeiri@ouhsc.edu, www.urogynecologist.com.

Dr Shobeiri has acted as consultant for AMS, Lifecell. Dr Shobeiri has received research grants from AUGS, Medtronics, Uroplasty, AMS.

The authors have declared they have no conflicts of interest.

© 2013 by Lippincott Williams & Wilkins