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Mesh Extrusion Through the Internal Cervical Os: An Unusual Complication Following Laparoscopic Sacrocervicopexy

Moulder, Janelle K. MD; Cohen, Sarah L. MD, MPH; Morse, Abraham N. MD, MBA; Einarsson, Jon I. MD, MPH

Female Pelvic Medicine & Reconstructive Surgery: September/October 2013 - Volume 19 - Issue 5 - p 309–311
doi: 10.1097/SPV.0b013e318292eb6d
Case Reports

Abstract: Mesh extrusion or exposure is a known complication of procedures using synthetic mesh for vaginal vault and pelvic organ suspension. Preservation of the uterine cervix is thought to be protective against such complications, as the well-vascularized in situ cervix provides an added barrier between the mesh and the colpotomy incision, limiting potential exposure to the vaginal flora. We describe a case of a 55-year-old multipara, who presented with vaginal discharge following a supracervical hysterectomy with sacrocervicopexy and was found to have a delayed mesh extrusion though the endocervical os.

From the Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women’s Hospital, Boston, MA.

Reprints: Janelle K. Moulder, MD, Department of Obstetrics, Gynecology, and Reproductive Biology, 75 Francis St, ASB 1-3, Boston, MA 02115. E-mail: janelle.moulder@gmail.com.

The authors declare that they have nothing to disclose.

© 2013 by Lippincott Williams & Wilkins