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Rectal Mesh Erosion After Robotic Sacrocolpopexy

Hirai, Cori-Ann BS*; Bohrer, Justin C. MD*; Ruel, Matthew MD; Minaglia, Steven M. MD*

Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31823d29ca
Case Reports
Abstract

Abstract: We report an unusual case of rectal mesh erosion presenting 16 months after robotic sacrocolpopexy. The patient initially underwent a robotic sacrocolpopexy, lysis of adhesions, midurethral sling, and posterior colporrhaphy for symptomatic grade 2 pelvic organ prolapse and urodynamic stress incontinence. Her postoperative recovery was uneventful. Sixteen months later, an anterior 2 × 2-cm rectal mesh erosion was noted on the colonoscopy performed when she presented with hematochezia.

In Brief

We report an unusual case of rectal mesh erosion presenting 16 months after robotic sacrocolpopexy. An anterior 2 × 2-cm rectal mesh erosion was noted on colonoscopy performed when the patient presented with painless hematochezia.

Author Information

From the *Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics & Gynecology, John A. Burns School of Medicine, University of Hawaii; and †The Queen’s Medical Center, Honolulu, HI.

Manuscript received June 16, 2011; accepted October 14, 2011.

Reprints: Cori-Ann Hirai, BS, Office of Student Affairs, MEB, 3rd Floor, John A. Burns School of Medicine, University of Hawaii, 651 Ilalo St, Honolulu, HI 96813. E-mail: cmhirai@gmail.com.

The authors declare that they have nothing to disclose.

© 2013 by Lippincott Williams & Wilkins