Use of Surgisis mesh in the management of polypropylene mesh erosion into the vagina

Introduction and hypothesis Mesh in pelvic reconstructive surgery is being used increasingly in clinical practice. Complications such as mesh erosion and dyspareunia can cause significant patient morbidity. In cases where vaginal mesh erosions are large or multifocal resulting in inadequate healthy...

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Bibliographic Details
Published in:International Urogynecology Journal 2011, Vol.22 (1), p.41-46
Main Authors: Khong, Su-Yen, Lam, Alan
Format: Article
Language:English
Subjects:
Adult
Animals
Biocompatible Materials - therapeutic use
Device Removal
Female
Follow-Up Studies
Gynecology
Humans
Medicine
Medicine & Public Health
Middle Aged
Original Article
Pelvic Organ Prolapse - prevention & control
Pelvic Organ Prolapse - surgery
Polypropylenes - adverse effects
Retrospective Studies
Secondary Prevention
Surgical Mesh - adverse effects
Swine
Treatment Outcome
Urology
Vagina - injuries
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Summary:Introduction and hypothesis Mesh in pelvic reconstructive surgery is being used increasingly in clinical practice. Complications such as mesh erosion and dyspareunia can cause significant patient morbidity. In cases where vaginal mesh erosions are large or multifocal resulting in inadequate healthy epithelium for repair, this may lead to recurrent mesh erosion or vaginal stenosis. Method Nine patients with synthetic mesh erosion who failed to respond to conservative measures were managed surgically with Surgisis. Results The median time at which patients presented with mesh erosion was 12 weeks. The size of erosion ranged from 1 to 4 cm in diameter. At follow-up, five patients were cured, three still had evidence of mesh erosion although the overall defects were smaller, and one patient required further surgery. Conclusion With mesh erosion being a troublesome reality following insertion of synthetic mesh repairs, Surgisis may prove to be a useful option in the treatment of large vaginal mesh defects.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-010-1234-x